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NPI Profile for IRECOVERY LLC in DAYTONA BEACH, FL.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1891453734 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/07/2021 | |
| Last updated | 11/15/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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IRECOVERY, LLC
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IRECOVERY, LLC