Healthcare Provider Details

I. General information

NPI: 1083578355
Provider Name (Legal Business Name): INTEGRATIVE RECOVERY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 STONECREST DR
HUNTINGTON WV
25701-9392
US

IV. Provider business mailing address

7 STONECREST DR
HUNTINGTON WV
25701-9392
US

V. Phone/Fax

Practice location:
  • Phone: 304-633-8541
  • 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

VIII. Authorized Official

Name: VICTORIA WARNER
Title or Position: BILLING DIRECTOR
Credential:
Phone: 681-264-4986