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NPI Code Detail

MEDICARE: HOMETOWN RECOVERY AND COUNSELING LLC

MEDICARE: HOMETOWN RECOVERY AND COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
3101YM0800XMental Health Counselor
4171M00000XCase Manager/Care Coordinator
5175T00000XPeer Specialist
6207QA0401XAddiction Medicine (Family Medicine) Physician
72083A0300XAddiction Medicine (Preventive Medicine) Physician
8251B00000XCase Management Agency
9251S00000XCommunity/Behavioral Health Agency
10261QM0850XAdult Mental Health Clinic/Center
11101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1104447051
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMETOWN RECOVERY AND COUNSELING LLC
Provider Business Mailing Address
First Line : 401 CENTER ST FRNT B
Second Line :
City : IRONTON
State : OH
Zip : 45638-1519
Country : US
Telephone Number : 740-479-5135
Fax Number : 740-237-4870
Provider Business Practice Location Address
First Line : 401 CENTER ST FRNT B
Second Line :
City : IRONTON
State : OH
Zip : 45638-1519
Country : US
Telephone Number : 740-479-5135
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : THOMAS JOHNSON
Credential :
Telephone Number : 740-307-2607
Provider Enumeration Date : 05/01/2020
Last Update Date : 06/01/2023

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