Provider Demographics
NPI:1437807765
Name:RECOVERY BOUND, LLC
Entity Type:Organization
Organization Name:RECOVERY BOUND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIA
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC
Authorized Official - Phone:216-551-3047
Mailing Address - Street 1:400 E 214TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1953
Mailing Address - Country:US
Mailing Address - Phone:216-551-3047
Mailing Address - Fax:
Practice Address - Street 1:400 E 214TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1953
Practice Address - Country:US
Practice Address - Phone:216-551-3047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty