Provider Demographics
NPI:1811572431
Name:CONSOLIDATED PLANNING, RECOVERY, HEALTH & WELLNESS, LLC
Entity Type:Organization
Organization Name:CONSOLIDATED PLANNING, RECOVERY, HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEER SUPPORT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAGE
Authorized Official - Middle Name:DEMOND
Authorized Official - Last Name:MUSGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:PEER SUPPORT SPECIAL
Authorized Official - Phone:928-257-7990
Mailing Address - Street 1:1405 W 16TH ST STE G
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-4578
Mailing Address - Country:US
Mailing Address - Phone:928-257-7990
Mailing Address - Fax:
Practice Address - Street 1:1405 W 16TH ST STE G
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-4578
Practice Address - Country:US
Practice Address - Phone:928-257-7990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health