Recovia Llc Grant Rd

LBN: Recovia Llc
Recovia Llc Grant Rd is an health care organization with primary practice located at 6400 E Grant Rd Ste 170 , Tucson AZ 85715-3800. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical), Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Recovia Llc can be contacted via phone (480) 712-4600, or through Proffitt, Cindy via phone (480) 219-7178.

Contact Information

Primary practice address
6400 E Grant Rd Ste 170 Tucson AZ 85715-3800
Phone: (480) 712-4600
Fax: (602) 428-7045
Website:
Map and Directions
Authorized official contact:
Name: Proffitt, Cindy C.C.S., EMT-P
Phone: (480) 219-7178

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1053035774
LBN Legal business name Recovia Llc
DBA Doing business as Recovia Llc Grant Rd
Authorized official Proffitt, Cindy C.C.S., EMT-P
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 27th, 2022
Last updated Aug 11th, 2023 - about 2 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 1053035774 NPPES
Arizona MEDICAID 1427421098

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