Healthcare Provider Details

I. General information

NPI: 1013365725
Provider Name (Legal Business Name): RECOVERY UNPLUGGED AUSTIN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14109 FM 969
AUSTIN TX
78724-6364
US

IV. Provider business mailing address

14109 FM 969 RD
AUSTIN TX
78724-6364
US

V. Phone/Fax

Practice location:
  • Phone: 512-489-1990
  • Fax: 512-233-2610
Mailing address:
  • Phone: 512-489-1990
  • Fax: 512-233-2610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number4047-4048
License Number StateTX

VIII. Authorized Official

Name: JESSICA ARBAUGH
Title or Position: VP, PAYOR SERVICES
Credential:
Phone: 954-368-0888