Provider Demographics
NPI:1467648535
Name:RECOVERY CONSULTANTS INC
Entity Type:Organization
Organization Name:RECOVERY CONSULTANTS INC
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:248-540-1090
Mailing Address - Street 1:3139 W HURON ST
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-3636
Mailing Address - Country:US
Mailing Address - Phone:248-738-8400
Mailing Address - Fax:248-738-8404
Practice Address - Street 1:3139 W HURON ST
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-3636
Practice Address - Country:US
Practice Address - Phone:248-738-8400
Practice Address - Fax:248-738-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI630066251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1705289Medicaid