MEDICARE: LIVING IN RECOVERY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	101YP2500X	Professional Counselor
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	324500000X	Substance Abuse Rehabilitation Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4675-4676	OTHER	TX	LICENSE
2	804075364	OTHER	TX	FORMATION

General Provider Information

NPI Number	:	1306411764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING IN RECOVERY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 6511
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78683-6511
Country	:	US
Telephone Number	:	512-201-4508
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 E HIGHWAY 290 STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1032
Country	:	US
Telephone Number	:	512-201-4508
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MS. CHRISTINA C HERNANDEZ
Credential	:
Telephone Number	:	512-201-4508

Provider Enumeration Date	:	05/26/2021
Last Update Date	:	03/25/2026

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Directions to “LIVING IN RECOVERY, LLC ” Practice Location

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