Organization
REAL RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SPERRY R.N. (OWNER)
(859) 625-5235
Entity
Organization
Contact information
Practice address
1623 FOXHAVEN DR, RICHMOND, KY 40475-1056
(859) 625-5235
(859) 625-5237
Mailing address
1623 FOXHAVEN DR, RICHMOND, KY 40475-1056
(859) 625-5235
(859) 625-5237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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