RESURGE RECOVERY, LLC; NPI #1548843360

Contact Information

RESURGE RECOVERY, LLC

5241 MONTGOMERY ROAD
CINCINNATI, OH 45212

Phone: 513-993-5241
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for RESURGE RECOVERY, LLC

NPI # 1548843360

LBN Legal business name RESURGE RECOVERY, LLC

Authorized official NICOLE LITVAK - (DIRECTOR OF OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/29/2021

Last updated 08/17/2021 - About 5 years ago

Identifiers

MS	Medicaid	1710197173
OH	Medicaid	1447704416
OH	Medicaid	1679702294
OH	Medicaid	1992382444

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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RESURGE RECOVERY, LLC

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NPI Profile & details for RESURGE RECOVERY, LLC

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