MEDICARE: RECOVERYLINK SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	2084P0800X	Psychiatry Physician
3	364S00000X	Clinical Nurse Specialist
4	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1134939408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERYLINK SERVICES LLC

Provider Business Mailing Address
First Line	:	4600 MONTGOMERY RD STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2600
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 MONTGOMERY RD STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2600
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF PAYER CREDENTIALLING
Name	:	AMY NIEMAN
Credential	:
Telephone Number	:	513-544-1003

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	11/18/2025

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