Provider Demographics
NPI:1083084164
Name:MULTIPLE INNOVATIONS TO RECOVERY, LLC
Entity Type:Organization
Organization Name:MULTIPLE INNOVATIONS TO RECOVERY, LLC
Other - Org Name:VALLE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:ESTEBAN
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, CAP
Authorized Official - Phone:813-701-1234
Mailing Address - Street 1:9225 BAY PLAZA BLVD
Mailing Address - Street 2:SUITE 418
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4466
Mailing Address - Country:US
Mailing Address - Phone:813-701-1234
Mailing Address - Fax:813-630-4670
Practice Address - Street 1:9225 BAY PLAZA BLVD
Practice Address - Street 2:SUITE 418
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4466
Practice Address - Country:US
Practice Address - Phone:813-701-1234
Practice Address - Fax:813-630-4670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2945501557301261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder