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NPI Code Detail

MEDICARE: PHOENIX RECOVERY LLC

MEDICARE: PHOENIX RECOVERY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1275399271
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOENIX RECOVERY LLC
Provider Business Mailing Address
First Line : 1412 N BROADWAY STE 107
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-3157
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1412 N BROADWAY STE 107
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-3157
Country : US
Telephone Number : 859-536-1922
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAVANNA SCHWEINHART
Credential :
Telephone Number : 859-536-1922
Provider Enumeration Date : 02/27/2024
Last Update Date : 03/05/2026

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Directions to “PHOENIX RECOVERY LLC ” Practice Location

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