Organization
STRUCTURE HOUSE RECOVERY LLC
Active
Parent organization
STRUCTURE HOUSE RECOVERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STRUCTURE HOUSE RECOVERY LLC
Authorized official
MICHAEL CAMERON THOMAS (PROGRAM ETHICS & COMPLIANCE OFFICER)
(606) 729-7119
Entity
Organization
Contact information
Practice address
318 W DIXIE ST, LONDON, KY 40741-1939
(606) 770-5024
(606) 770-5025
Mailing address
PO BOX 1976, LONDON, KY 40743-1976
(606) 770-5024
(606) 770-5025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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