=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093634081
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SONS AND DAUGHTERS RECOVERY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8420 COOPER LN
-----------------------------------------------------
City | ZIONSVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46077-9360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-873-2626
-----------------------------------------------------
Fax | 317-873-2626
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8420 COOPER LN
-----------------------------------------------------
City | ZIONSVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46077-9360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-873-2626
-----------------------------------------------------
Fax | 317-873-2626
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DOMINIQUE D LEVEQUE
-----------------------------------------------------
Credential | CPNP FNP-BC
-----------------------------------------------------
Telephone | 317-873-2626
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------