Provider Demographics
NPI:1295604270
Name:PEER PLUS RECOVERY LLC
Entity type:Organization
Organization Name:PEER PLUS RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEER SUPPORT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:GIAON
Authorized Official - Middle Name:R
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPRS-R, QMHP-T, CSAC
Authorized Official - Phone:804-283-1692
Mailing Address - Street 1:1809 SHIRLEYDALE AVE
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-4072
Mailing Address - Country:US
Mailing Address - Phone:804-283-1692
Mailing Address - Fax:
Practice Address - Street 1:1809 SHIRLEYDALE AVE
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-4072
Practice Address - Country:US
Practice Address - Phone:804-283-1692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility