Authentic Recovery, Llc

LBN: Authentic Recovery, Llc
Authentic Recovery, Llc is an health care organization with primary practice located at 1 Carriage Pl Suite 4, Waterbury CT 06702-2108. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Authentic Recovery, Llc can be contacted via phone (860) 805-2267, or through Simoncelli, John W via phone (860) 805-2267.

Contact Information

Primary practice address
1 Carriage Pl Suite 4 Waterbury CT 06702-2108
Phone: (860) 805-2267
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simoncelli, John W L.A.D.C., M.S.W.
Phone: (860) 805-2267

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1285040675
LBN Legal business name Authentic Recovery, Llc
DBA Doing business as
Authorized official Simoncelli, John W L.A.D.C., M.S.W.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2014
Last updated Jan 12th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285040675 NPPES
Connecticut MEDICAID 008047242

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