Healthcare Provider Details

I. General information

NPI: 1710427752
Provider Name (Legal Business Name): CARING RECOVERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 E NEW CIRCLE RD SUITE 190
LEXINGTON KY
40509-1043
US

IV. Provider business mailing address

1555 E NEW CIRCLE RD SUITE 190
LEXINGTON KY
40509-1043
US

V. Phone/Fax

Practice location:
  • Phone: 859-303-9436
  • Fax: 859-207-0724
Mailing address:
  • Phone: 859-303-9436
  • Fax: 859-207-0724

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 Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA AVERY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 859-303-9436