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Organization

SHADES OF RECOVERY LLC

Active
Other names
Shades of Recovery LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG ESSEX (MEMBER)
(765) 577-0966
Entity
Organization

Contact information

Practice address
112 S WASHINGTON ST, LADOGA, IN 47954-9375
(765) 577-0966
Mailing address
PO BOX 376, LADOGA, IN 47954-0376
(765) 577-0966

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/25/2025
Last updated
07/25/2025
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