Healthcare Provider Details

I. General information

NPI: 1558207225
Provider Name (Legal Business Name): YOURECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 STRATFORD APARTMENTS APT 7
OLD BRIDGE NJ
08857-2437
US

IV. Provider business mailing address

1 STRATFORD APARTMENTS APT 7
OLD BRIDGE NJ
08857-2437
US

V. Phone/Fax

Practice location:
  • Phone: 856-600-2668
  • Fax:
Mailing address:
  • Phone: 856-600-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN HEIM JR.
Title or Position: CHIEF OPERATING OFFICER
Credential: LCSW, LCADC
Phone: 856-600-2668