Provider Demographics
NPI:1659029494
Name:ADDICTION RECOVERY SERVICES, LLC
Entity Type:Organization
Organization Name:ADDICTION RECOVERY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SLUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:CAP
Authorized Official - Phone:513-226-9611
Mailing Address - Street 1:4801 ROWAN RD APT 105
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-5608
Mailing Address - Country:US
Mailing Address - Phone:912-200-5320
Mailing Address - Fax:
Practice Address - Street 1:4801 ROWAN RD APT 105
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-5608
Practice Address - Country:US
Practice Address - Phone:912-200-5320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCAP100343OtherFCB