Provider Demographics
NPI:1710427752
Name:CARING RECOVERY, PLLC
Entity Type:Organization
Organization Name:CARING RECOVERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-303-9436
Mailing Address - Street 1:1555 E NEW CIRCLE RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1043
Mailing Address - Country:US
Mailing Address - Phone:859-303-9436
Mailing Address - Fax:859-207-0724
Practice Address - Street 1:1555 E NEW CIRCLE RD
Practice Address - Street 2:SUITE 190
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1043
Practice Address - Country:US
Practice Address - Phone:859-303-9436
Practice Address - Fax:859-207-0724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100123760Medicaid
KYH03984Medicare UPIN