LOST SOULS RECOVERY, LLC; NPI #1225920408

Contact Information

LOST SOULS RECOVERY, LLC

130 WHITE HORSE PIKE
CLEMENTON, NJ 08021-4159

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

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NPI Profile & details for LOST SOULS RECOVERY, LLC

NPI #	`1225920408`
LBN Legal business name	LOST SOULS RECOVERY, LLC
Authorized official	NADEEM BASHIR - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/21/2025
Last updated	07/21/2025 - About 11 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LOST SOULS RECOVERY, LLC

Contact Information

Specialty

Addiction Medicine

NPI Profile & details for LOST SOULS RECOVERY, LLC

Reviews for LOST SOULS RECOVERY, LLC