Provider Demographics
NPI:1417547167
Name:RECOVERY AWARENESS LLC
Entity Type:Organization
Organization Name:RECOVERY AWARENESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BURTON
Authorized Official - Middle Name:D
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:RMHCI, MCAP
Authorized Official - Phone:352-256-8330
Mailing Address - Street 1:7014 SW COUNTY ROAD 796
Mailing Address - Street 2:
Mailing Address - City:LAKE BUTLER
Mailing Address - State:FL
Mailing Address - Zip Code:32054-5539
Mailing Address - Country:US
Mailing Address - Phone:352-256-8330
Mailing Address - Fax:
Practice Address - Street 1:816 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-2903
Practice Address - Country:US
Practice Address - Phone:352-256-8330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty