Provider Demographics
NPI:1649469479
Name:RECOVERY ASSOCIATES, LLC
Entity type:Organization
Organization Name:RECOVERY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOFTON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:318-308-1880
Mailing Address - Street 1:103 CONSTITUTION DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3522
Mailing Address - Country:US
Mailing Address - Phone:318-308-1880
Mailing Address - Fax:
Practice Address - Street 1:103 CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3522
Practice Address - Country:US
Practice Address - Phone:318-308-1880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA969101YA0400X
LA01007103TA0400X
LA55444101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty