Provider Demographics
NPI:1649761982
Name:INDEPENDENT RECOVERY SOLUTIONS LCC
Entity Type:Organization
Organization Name:INDEPENDENT RECOVERY SOLUTIONS LCC
Other - Org Name:INDEPENDENT RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCHELLER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CAP
Authorized Official - Phone:215-595-4081
Mailing Address - Street 1:2077 VININGS CIR APT 1303
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2080
Mailing Address - Country:US
Mailing Address - Phone:215-595-4081
Mailing Address - Fax:
Practice Address - Street 1:1645 PALM BEACH LAKES BLVD STE 1200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2214
Practice Address - Country:US
Practice Address - Phone:215-595-4081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty