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General NPI Number Information
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NPI Number | 1740856483
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Entity Type | Organization
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Legal Business Name | ROADWAYS TO RECOVERY INC.,
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2620 INDUSTRIAL PARK DRIVE
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City | BEDFORD
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State | IN
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Zip | 47421
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Country | US
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Telephone | 812-583-6540
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Fax | 812-559-9192
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Provider Business Mailing Address
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Address Line | 211 STEVENS LN
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City | MITCHELL
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State | IN
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Zip | 47446-6606
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Country | US
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Telephone | 812-583-6540
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL CORYEA
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Credential |
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Telephone | 812-583-6540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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