Healthcare Provider Details

I. General information

NPI: 1649881822
Provider Name (Legal Business Name): SOLUTIONS RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 W PINHOOK RD STE 504
LAFAYETTE LA
70508-3212
US

IV. Provider business mailing address

PO BOX 51104
LAFAYETTE LA
70505-1104
US

V. Phone/Fax

Practice location:
  • Phone: 337-214-2100
  • Fax: 337-284-3004
Mailing address:
  • Phone: 337-214-2100
  • Fax: 337-284-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM R RICHARD
Title or Position: CEO
Credential: LAC
Phone: 337-214-2100