MEDICARE: ADDICTION RECOVERY PARTNERS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1851919179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADDICTION RECOVERY PARTNERS

Provider Business Mailing Address
First Line	:	8951 W SAHARA AVE STE 190
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5899
Country	:	US
Telephone Number	:	702-886-9011
Fax Number	:

Provider Business Practice Location Address
First Line	:	8951 W SAHARA AVE STE 190
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5899
Country	:	US
Telephone Number	:	702-886-9011
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	CRYSTAL DAWN BARBER
Credential	:
Telephone Number	:	702-886-9011

Provider Enumeration Date	:	07/13/2020
Last Update Date	:	07/13/2020

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