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Contact Information

LOST SOULS RECOVERY, LLC
130 WHITE HORSE PIKE
CLEMENTON, NJ08021-4159
 Phone: 570-622-9101
 Fax: 570-622-9102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LOST SOULS RECOVERY LLC · (Female)

NPI Number 1225920408
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2025
Last updated 07/21/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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