Provider Demographics
NPI:1659049898
Name:ADDICTION RECOVERY COUNSELING, LLC
Entity Type:Organization
Organization Name:ADDICTION RECOVERY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SUBSTANCE ABUSE COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GOUVEIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MPA, LADC-I, LCD
Authorized Official - Phone:508-938-9646
Mailing Address - Street 1:360 FAUNCE CORNER RD
Mailing Address - Street 2:UNIT 5
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747
Mailing Address - Country:US
Mailing Address - Phone:774-201-9304
Mailing Address - Fax:
Practice Address - Street 1:360 FAUNCE CORNER RD
Practice Address - Street 2:UNIT 5
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747
Practice Address - Country:US
Practice Address - Phone:508-938-9646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty