Organization
WILD RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LEE ALVIN DOERR LPCC, LADC (CEO/LPCC/LADC)
(612) 201-2280
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 200, FRIDLEY, MN 55432-5136
(612) 201-2280
Mailing address
10464 HOLLYWOOD BLVD NW, COON RAPIDS, MN 55433-4517
(612) 201-2280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
01/13/2026
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