Organization
IRECOVERY, LLC
Active
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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