Organization
RECOVIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY PROFFITT CCS, CPB, EMT-P (DIRECTOR OF BILLING)
(480) 219-7178
Entity
Organization
Contact information
Practice address
6553 E BAYWOOD AVE STE 209, MESA, AZ 85206-1754
(480) 219-7178
(480) 219-7138
Mailing address
PO BOX 20216, PHOENIX, AZ 85036-0216
(480) 480-7178
(480) 219-7138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
09/13/2021
Last updated
08/11/2023
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