Healthcare Provider Details

I. General information

NPI: 1497513493
Provider Name (Legal Business Name): DOVE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 05/17/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 AVERY MUIRFIELD DR
DUBLIN OH
43017-1241
US

IV. Provider business mailing address

6770 AVERY MUIRFIELD DR
DUBLIN OH
43017-1241
US

V. Phone/Fax

Practice location:
  • Phone: 614-697-3600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DAVID LIEBERMAN
Title or Position: CEO
Credential:
Phone: 917-626-7305