National Provider Identifier Database

MODERN RECOVERY LLC
Adolescent and Children Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.


Contact Information

MODERN RECOVERY, LLC
4535 S LAKESHORE DR STE 1B
TEMPE, AZ85282-7046
Phone: 203-200-8556
Fax:
Website:
Specialty Taxonomy Code
* Adolescent and Children Mental Health 261QM0855X
Health Service 261QH0100X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for MODERN RECOVERY, LLC

NPI Number 1477104362
Legal business name
LBN
MODERN RECOVERY, LLC
Authorized official ANDREA STINER - (BILLING DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/23/2019
Last updated 12/11/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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