Provider Demographics
NPI:1982102901
Name:ADVANCED RECOVERY & COUNSELING LLC
Entity Type:Organization
Organization Name:ADVANCED RECOVERY & COUNSELING LLC
Other - Org Name:ARC MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:T
Authorized Official - Last Name:REICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:787-457-3777
Mailing Address - Street 1:14400 NW 77TH CT STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1590
Mailing Address - Country:US
Mailing Address - Phone:786-916-6073
Mailing Address - Fax:786-657-3092
Practice Address - Street 1:14400 NW 77TH CT STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1590
Practice Address - Country:US
Practice Address - Phone:786-916-6073
Practice Address - Fax:786-657-3092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104616600Medicaid
FL107662100Medicaid