Provider Demographics
NPI:1407923501
Name:RECOVERY CONSULTANTS INCORPORATED
Entity Type:Organization
Organization Name:RECOVERY CONSULTANTS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SMALLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-543-1090
Mailing Address - Street 1:2710 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1630
Mailing Address - Country:US
Mailing Address - Phone:248-543-1090
Mailing Address - Fax:248-543-0017
Practice Address - Street 1:2710 12 MILE RD
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072
Practice Address - Country:US
Practice Address - Phone:248-543-1090
Practice Address - Fax:248-543-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0631165261QM0850X
MI631165261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1705289Medicaid
MI630418OtherHAP
MI5671705OtherAETNA
MI20492OtherBLUE CROSS BLUE SHIELD OF
MI321593OtherVALUE OPTIONS
MI9664716OtherCIGNA