Healthcare Provider Details

I. General information

NPI: 1336850726
Provider Name (Legal Business Name): PROSPECT HILL RECOVERY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5A PROSPECT HILL
FREDERIKSTED VI
00840
US

IV. Provider business mailing address

5030 ANCHOR WAY STE 9
CHRISTIANSTED VI
00820-4692
US

V. Phone/Fax

Practice location:
  • Phone: 571-216-0561
  • Fax:
Mailing address:
  • Phone: 340-719-7007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDSY K YARGER-WAGNER
Title or Position: CLINICAL DIRECTOR
Credential: PSYD
Phone: 571-216-0561