Provider Demographics
NPI:1598317042
Name:CONNECTION TO RECOVERY, LLC
Entity Type:Organization
Organization Name:CONNECTION TO RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STRATEGIC PARTNERSHIPS
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LACY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-738-6309
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:CHINA SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:76633-0013
Mailing Address - Country:US
Mailing Address - Phone:512-334-6449
Mailing Address - Fax:512-212-7470
Practice Address - Street 1:14038 CHINA SPRING RD # 13
Practice Address - Street 2:
Practice Address - City:CHINA SPRING
Practice Address - State:TX
Practice Address - Zip Code:76633-3450
Practice Address - Country:US
Practice Address - Phone:512-334-6449
Practice Address - Fax:512-212-7170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty