Provider Demographics
NPI:1467871699
Name:RECYCLED RECOVERY COUNSELING SERVICES
Entity Type:Organization
Organization Name:RECYCLED RECOVERY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KERA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH, LLC, CCS
Authorized Official - Phone:985-839-6900
Mailing Address - Street 1:13287 SANDALWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-4599
Mailing Address - Country:US
Mailing Address - Phone:985-839-6900
Mailing Address - Fax:985-839-9963
Practice Address - Street 1:13287 SANDALWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-4599
Practice Address - Country:US
Practice Address - Phone:985-839-6900
Practice Address - Fax:985-839-9963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1418101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty