Organization
RECOVIA LLC
Active
Parent organization
RECOVIA LLC
Other names
Recovia LLC Gilbert
Organization subpart
Yes
Provider details
NPI number
Legal business name
RECOVIA LLC
Authorized official
CINDY PROFFITT C.C.S., C.P.B., EMT- (DIRECTOR OF BILLING)
(480) 219-7178
Entity
Organization
Contact information
Practice address
1760 E PECOS RD STE 432, GILBERT, AZ 85295-3209
(480) 712-4600
(480) 219-7138
Mailing address
PO BOX 29650, PHOENIX, AZ 85038-9650
(480) 712-4600
(480) 219-7138
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
163WP0000X
Pain Management Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/16/2023
Last updated
12/10/2024
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