MEDICARE: RED THREAD RECOVERY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1619850823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED THREAD RECOVERY

Provider Business Mailing Address
First Line	:	2775 ORCHARD RUN RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45449-2831
Country	:	US
Telephone Number	:	317-214-2167
Fax Number	:

Provider Business Practice Location Address
First Line	:	2775 ORCHARD RUN RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45449-2831
Country	:	US
Telephone Number	:	317-214-2167
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. AMANDA BETH DEGLER
Credential	:	LISW
Telephone Number	:	317-214-2167

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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Directions to “RED THREAD RECOVERY ” Practice Location

Language	Start Address	Practice Location

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