Provider Demographics
NPI:1689445041
Name:HELP HAND RECOVERY ZONE
Entity Type:Organization
Organization Name:HELP HAND RECOVERY ZONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-883-9842
Mailing Address - Street 1:620 CHIEFTAIN DR
Mailing Address - Street 2:
Mailing Address - City:FAIRDALE
Mailing Address - State:KY
Mailing Address - Zip Code:40118-9678
Mailing Address - Country:US
Mailing Address - Phone:502-883-9842
Mailing Address - Fax:
Practice Address - Street 1:620 CHIEFTAIN DR
Practice Address - Street 2:
Practice Address - City:FAIRDALE
Practice Address - State:KY
Practice Address - Zip Code:40118-9678
Practice Address - Country:US
Practice Address - Phone:502-883-9842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty