Provider Demographics
NPI:1891839726
Name:RECOVERY SOLUTIONS LLC
Entity Type:Organization
Organization Name:RECOVERY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FAISON
Authorized Official - Middle Name:HEATHMAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:IV
Authorized Official - Credentials:LCDC, ADCIII
Authorized Official - Phone:956-994-1428
Mailing Address - Street 1:5111 N 10TH ST PMB 168
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2835
Mailing Address - Country:US
Mailing Address - Phone:956-994-1428
Mailing Address - Fax:956-994-1487
Practice Address - Street 1:801 NOLANA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3034
Practice Address - Country:US
Practice Address - Phone:956-994-1428
Practice Address - Fax:956-994-1487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2514-A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX99PBOtherBC-BS