NPI Code Details Logo

NPI 1841123304

NPI 1841123304 : RECOVERY UNLIMITED KS, INC. : WICHITA, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1841123304
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RECOVERY UNLIMITED KS, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/04/2026
-----------------------------------------------------
    Last Update Date     |    06/04/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3737 W DOUGLAS AVE 
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67213-2407
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-941-9948
-----------------------------------------------------
    Fax                  |    316-943-7195
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3737 W DOUGLAS AVE 
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67213-2407
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-941-9948
-----------------------------------------------------
    Fax                  |    316-943-7195
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     DADE  RONAN 
-----------------------------------------------------
    Credential           |    PHD
-----------------------------------------------------
    Telephone            |    316-941-9948
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP1600X
-----------------------------------------------------
    Taxonomy Name        |    Pastoral Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    172A00000X
-----------------------------------------------------
    Taxonomy Name        |    Driver
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    175T00000X
-----------------------------------------------------
    Taxonomy Name        |    Peer Specialist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    246ZE0500X
-----------------------------------------------------
    Taxonomy Name        |    EEG Specialist/Technologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    2472E0500X
-----------------------------------------------------
    Taxonomy Name        |    EEG Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.