Provider Demographics
NPI:1356640007
Name:HEALTHY RECOVERY OPTIONS
Entity Type:Organization
Organization Name:HEALTHY RECOVERY OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROFESSIONAL
Authorized Official - Prefix:DR
Authorized Official - First Name:PETUNIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONCHUSIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RAODAC, AAPS
Authorized Official - Phone:913-748-7831
Mailing Address - Street 1:10540 BARKLEY ST STE 269
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1842
Mailing Address - Country:US
Mailing Address - Phone:913-748-7831
Mailing Address - Fax:913-660-0523
Practice Address - Street 1:15460 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2891
Practice Address - Country:US
Practice Address - Phone:913-748-7831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS138101YA0400X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty