Provider Demographics
NPI:1801628334
Name:EPIC RECOVERY, LLC
Entity type:Organization
Organization Name:EPIC RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LA'COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SETZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-244-2622
Mailing Address - Street 1:1412 BETHANY DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-9354
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1412 BETHANY DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-9354
Practice Address - Country:US
Practice Address - Phone:704-298-9914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty