Organization
RECOVIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY PROFFITT CCS, CPB, EMT-P (BILLING DIRECTOR)
(480) 219-7178
Entity
Organization
Contact information
Practice address
337 E CORONADO RD STE 201, PHOENIX, AZ 85004-1583
(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
174400000X
Specialist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/04/2015
Last updated
10/12/2022
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