Organization
RECOVERYALISTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJALIA L TYUS APRN (PRESIDENT)
(502) 500-4772
Entity
Organization
Contact information
Practice address
813 S 40TH ST, LOUISVILLE, KY 40211-2837
(502) 608-4471
Mailing address
813 S 40TH ST, LOUISVILLE, KY 40211-2837
(502) 608-4471
(502) 290-0579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
12/09/2025
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