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NPI 1508721259

NPI 1508721259 : AWL RECOVERY SERVICES LLC : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1508721259
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    Entity Type          |    Organization 
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    Legal Business Name  |    AWL RECOVERY SERVICES LLC 
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Dates
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    Enumeration Date     |    12/16/2025
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    2145 BANK ST 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40212-1208
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    Country              |    US
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    Telephone            |    502-356-9957
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2145 BANK ST 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40212-1208
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    Country              |    US
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    Telephone            |    502-356-9957
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANTHONY  LABRANEY 
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    Credential           |    LCADC
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    Telephone            |    714-786-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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