Organization
RESURGE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LITVAK (DIRECTOR OF OPERATIONS)
(216) 225-4464
Entity
Organization
Contact information
Practice address
5241 MONTGOMERY ROAD, CINCINNATI, OH 45212
(513) 993-5241
Mailing address
5241 MONTGOMERY ROAD, CINCINNATI, OH 45212
(513) 993-5241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
175T00000X
Peer Specialist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447704416
—
OH
05
—
1679702294
—
OH
05
—
1710197173
—
MS
05
—
1992382444
—
OH
Enumeration date
04/29/2021
Last updated
08/17/2021
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