Organization
RECOVIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY PROFFITT CCS, CPB, EMT-P (DIRECTOR OF BILLING)
(480) 219-7178
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE STE 106, PHOENIX, AZ 85027-4014
(480) 219-7178
(480) 219-7138
Mailing address
PO BOX 20216, PHOENIX, AZ 85036-0216
(480) 219-7178
(480) 219-7138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/08/2021
Last updated
08/11/2023
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