Recovery Priority, Llc | |
4821 Old National Rd E Ste D Richmond IN 47374-2675 | |
(765) 914-9116 | |
Not Available |
Full Name | Recovery Priority, Llc |
---|---|
Speciality | Counselor |
Location | 4821 Old National Rd E Ste D, Richmond, Indiana |
Authorized Official Name and Position | Brad Kelley (OWNER) |
Authorized Official Contact | 7659149116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Recovery Priority, Llc 4821 Old National Rd E Ste D Richmond IN 47374-2675 Ph: (765) 914-9116 | Recovery Priority, Llc 4821 Old National Rd E Ste D Richmond IN 47374-2675 Ph: (765) 914-9116 |
NPI Number | 1932493186 |
---|---|
Provider Enumeration Date | 06/06/2011 |
Last Update Date | 05/19/2021 |
Certification Date | 05/19/2021 |
Medicare PECOS PAC ID | 6507006194 |
---|---|
Medicare Enrollment ID | O20130702000340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932493186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000659A (Indiana) | Primary |
Provider Name | Mary Jean Schwendener Holt |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336176288 PECOS PAC ID: 6608856349 Enrollment ID: I20040722000887 |
Provider Name | Brad Kelley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154490316 PECOS PAC ID: 7315187903 Enrollment ID: I20210610002262 |
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