| Recovery First Llc | |
|
2581 E Chestnut Ave Ste B3 Vineland NJ 08361-8487 | |
| (609) 346-8740 | |
| Not Available |
| Full Name | Recovery First Llc |
|---|---|
| Speciality | Counselor |
| Location | 2581 E Chestnut Ave Ste B3, Vineland, New Jersey |
| Authorized Official Name and Position | Luis Enrique Virella (CLINICAL THERAPIST/OWNER) |
| Authorized Official Contact | 6093468740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery First Llc Po Box 2738 Vineland NJ 08362-2738 Ph: (609) 346-8740 | Recovery First Llc 2581 E Chestnut Ave Ste B3 Vineland NJ 08361-8487 Ph: (609) 346-8740 |
| NPI Number | 1609378629 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 3274881578 |
|---|---|
| Medicare Enrollment ID | O20180802001813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609378629 | NPI | - | NPPES |
| 0010138 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00241500 (New Jersey) | Secondary |
| 101YM0800X | Counselor - Mental Health | 44SC05660000 (New Jersey) | Primary |
| Provider Name | Luis E Virella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134588965 PECOS PAC ID: 0648564955 Enrollment ID: I20160810000104 |
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