Healthcare Provider Details

I. General information

NPI: 1982102901
Provider Name (Legal Business Name): ADVANCED RECOVERY & COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2018
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14400 NW 77TH CT STE 100
MIAMI LAKES FL
33016-1590
US

IV. Provider business mailing address

14400 NW 77TH CT STE 100
MIAMI LAKES FL
33016-1590
US

V. Phone/Fax

Practice location:
  • Phone: 786-916-6073
  • Fax: 786-657-3092
Mailing address:
  • Phone: 786-916-6073
  • Fax: 786-657-3092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE T REICHARD
Title or Position: CEO
Credential: LMHC
Phone: 787-457-3777