Organization
IRECOVERY, LLC
Active
Parent organization
IRECOVERY, LLC
Other names
iRecoveryUSA
Organization subpart
Yes
Provider details
NPI number
Legal business name
IRECOVERY, LLC
Authorized official
MILDRED CINTRON (CREDENTIALING)
(561) 235-7683
Entity
Organization
Contact information
Practice address
623 N GRANDVIEW AVE STE 213, DAYTONA BEACH, FL 32118-3813
(386) 999-4299
(561) 464-5501
Mailing address
5030 CHAMPION BLVD STE G11-535, BOCA RATON, FL 33496-2473
(561) 235-7683
(561) 464-5501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
12/07/2021
Last updated
11/15/2022
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