Healthcare Provider Details

I. General information

NPI: 1760009765
Provider Name (Legal Business Name): THE RECOVERY CONNECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 WESTSIDE STATION DR
WINCHESTER VA
22601-2839
US

IV. Provider business mailing address

PO BOX 2724
WINCHESTER VA
22604-1924
US

V. Phone/Fax

Practice location:
  • Phone: 540-504-7671
  • Fax: 540-504-7818
Mailing address:
  • Phone: 540-686-0864
  • Fax: 540-504-7818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIE MARIE FUNKHOUSER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 540-686-0864