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General NPI Number Information
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NPI Number | 1598366346
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Entity Type | Organization
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Legal Business Name | UNITED FAMILY RECOVERY, LLC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 323 MARION PIKE STE 1
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City | COAL GROVE
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State | OH
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Zip | 45638-2958
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Country | US
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Telephone | 740-237-4981
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Fax | 877-325-2816
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Provider Business Mailing Address
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Address Line | 323 MARION PIKE STE 1
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City | COAL GROVE
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State | OH
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Zip | 45638-2958
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Country | US
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Telephone | 740-237-4981
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Fax | 877-325-2816
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | ELIZABETH MAINS
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Credential | LICDC-CS, PRS-S
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Telephone | 740-237-4981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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