Healthcare Provider Details

I. General information

NPI: 1144177635
Provider Name (Legal Business Name): AUTONOMY RECOVERY NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11299 MURCHIE MINE RD
NEVADA CITY CA
95959-9543
US

IV. Provider business mailing address

11299 MURCHIE MINE RD
NEVADA CITY CA
95959-9543
US

V. Phone/Fax

Practice location:
  • Phone: 256-603-3525
  • Fax:
Mailing address:
  • Phone: 256-603-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA RENEE HEATHERLY
Title or Position: CEO
Credential:
Phone: 256-603-3525