Healthcare Provider Details
I. General information
NPI: 1699352815
Provider Name (Legal Business Name): RECOVERY CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2021
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 TRUMAN ST NE
ALBUQUERQUE NM
87108-1330
US
IV. Provider business mailing address
2824 WASHINGTON ST NE
ALBUQUERQUE NM
87110-2930
US
V. Phone/Fax
- Phone: 505-895-0147
- Fax: 505-441-2954
- Phone: 505-492-8440
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
FOUST
Title or Position: OWNER/CLINICIAN
Credential: LCSW, LADAC
Phone: 505-492-8440