Healthcare Provider Details

I. General information

NPI: 1528795069
Provider Name (Legal Business Name): RECOVERY DOCS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8171 E INDIAN BEND RD
SCOTTSDALE AZ
85250-4830
US

IV. Provider business mailing address

7114 E STETSON DR STE 400
SCOTTSDALE AZ
85251-3252
US

V. Phone/Fax

Practice location:
  • Phone: 800-922-0094
  • Fax:
Mailing address:
  • Phone: 800-922-0094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTINA HONIOTES
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 317-698-3502