Healthcare Provider Details

I. General information

NPI: 1952227159
Provider Name (Legal Business Name): BRC RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 W LEXINGTON AVE STE C
WINCHESTER KY
40391-1290
US

IV. Provider business mailing address

1145 W LEXINGTON AVE STE C
WINCHESTER KY
40391-1290
US

V. Phone/Fax

Practice location:
  • Phone: 859-385-4093
  • Fax: 859-355-5368
Mailing address:
  • Phone: 859-385-4093
  • Fax: 859-355-5368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 6
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIC DUNKELBERG
Title or Position: PARTNER/OWNER
Credential:
Phone: 859-385-4093