Antidote Recovery Llc

LBN: Antidote Recovery Llc
Antidote Recovery Llc is an health care organization with primary practice located at 3310 E 10Th St # 4-156 , Jeffersonville IN 47130-7285. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Antidote Recovery Llc can be contacted via phone (812) 624-1180, or through Magallanez, Roberto Miguel via phone (812) 624-1180.

Contact Information

Primary practice address
3310 E 10Th St # 4-156 Jeffersonville IN 47130-7285
Phone: (812) 624-1180
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Magallanez, Roberto Miguel Licensed Clinical Social Worker (LCSW)
Phone: (812) 624-1180

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1467122051
LBN Legal business name Antidote Recovery Llc
DBA Doing business as
Authorized official Magallanez, Roberto Miguel Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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