National Provider Identifier Database

RESURGE RECOVERY LLC
Addiction Medicine

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

Contact Information

RESURGE RECOVERY, LLC
5241 MONTGOMERY ROAD
CINCINNATI, OH  45212
Phone: 513-993-5241
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Addiction (Substance Use Disorder) 163WA0400X
Ambulatory Care 163WP2201X
Clinic Pharmacy 3336C0002X
Continuing Education/Staff Development 163WC1600X
Marriage & Family Therapist 106H00000X
Mental Health 101YM0800X
Mental Health (Including Community Mental Health Center) 261QM0801X
Other Service Providers 175T00000X
Psychiatric/Mental Health 163WP0808X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for RESURGE RECOVERY, LLC

NPI Number 1548843360
Legal business name
LBN		 RESURGE RECOVERY, LLC
Authorized official NICOLE LITVAK - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 04/29/2021
Last updated 08/17/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 1710197173
  • OH Medicaid: 1447704416
  • OH Medicaid: 1679702294
  • OH Medicaid: 1992382444

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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