Provider Demographics
NPI:1932514155
Name:RECOVERY IS POSSIBLE
Entity Type:Organization
Organization Name:RECOVERY IS POSSIBLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:KOCUREK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-750-1862
Mailing Address - Street 1:3146 BONNEY BRIAR DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3113
Mailing Address - Country:US
Mailing Address - Phone:832-421-0548
Mailing Address - Fax:
Practice Address - Street 1:3146 BONNEY BRIAR DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3113
Practice Address - Country:US
Practice Address - Phone:832-421-0548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116322205Medicaid
8858BOMedicare UPIN
TX116322205Medicaid