Healthcare Provider Details

I. General information

NPI: 1053143586
Provider Name (Legal Business Name): RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 DEER RUN RD
DANVILLE VA
24540-2863
US

IV. Provider business mailing address

149 DEER RUN RD
DANVILLE VA
24540-2863
US

V. Phone/Fax

Practice location:
  • Phone: 704-298-9914
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: LA'COURTNEY SETZER
Title or Position: COO
Credential:
Phone: 828-244-2622