Healthcare Provider Details

I. General information

NPI: 1508721259
Provider Name (Legal Business Name): AWL RECOVERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 BANK ST
LOUISVILLE KY
40212-1208
US

IV. Provider business mailing address

2145 BANK ST
LOUISVILLE KY
40212-1208
US

V. Phone/Fax

Practice location:
  • Phone: 502-356-9957
  • Fax:
Mailing address:
  • Phone: 502-356-9957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY LABRANEY
Title or Position: OWNER
Credential: LCADC
Phone: 714-786-5227