NPI Profile for RESURGE RECOVERY LLC in CINCINNATI, OH.
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Addiction (Substance Use Disorder) |
163WA0400X | |||
Ambulatory Care |
163WP2201X | |||
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Continuing Education/Staff Development |
163WC1600X | |||
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Other Service Providers |
175T00000X | |||
Psychiatric/Mental Health |
163WP0808X | |||
Social Worker |
104100000X |
| NPI # | 1548843360 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/29/2021 | |
| Last updated | 08/17/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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RESURGE RECOVERY, LLC
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| KELLY D WEBER, LISW-S VA BEHAVIORAL HEALTH AND WELLNESS CENTER NORWOOD, OH |
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| KAYE GAFFNEY, LISW 3333 BURNET AVENUE CINCINNATI, OH |
| ASHLEY R MATTOX 1501 MADISON RD CINCINNATI, OH |
| SCOTT A RIES, LISW 260 STETSON AVENUE CINCINNATI, OH |
| CHRIST HOSPITAL 2139 AUBURN AVENUE CINCINNATI, OH |
| ALBERTO ESPAY, MD 222 PIEDMONT AVE CINCINNATI, OH |
| ANDREA S DEANGELIS, RN STERLING MEDICAL ASSOCIATES CINCINNATI, OH |
| SHANNON KINIYALOCTS, LISW 2208 READING ROAD CINCINNATI, OH |