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:
Health care specialties
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285040675 | NPPES |
| Connecticut | MEDICAID | 008047242 |
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