Organization
RECOVIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY PROFFITT C.C.S., C.P.B. EMT-P (DIRECTOR OF BILLING)
(480) 219-7178
Entity
Organization
Contact information
Practice address
2411 W NORTHERN AVE STE 201, PHOENIX, AZ 85021-4874
(480) 712-4600
(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
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/08/2021
Last updated
08/11/2023
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