LIVING FREE RECOVERY, PLLC (NPI# 1255881033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255881033 |
| Entity Type | Organization |
| Organization Name | LIVING FREE RECOVERY, PLLC |
| Practice Address |
400 University Dr Prestonsburg KY 41653-1080 |
| Mailing Address |
Po Box 1810 Prestonsburg KY 41653-5810 |
| Practice Telephone | 6068860224 |
| Practice Fax Number | 6068869908 |
| Mailing Telephone | 6068860224 |
| Mailing Fax Number | 6068869908 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MARY FAIRCHILD (BILLING MANAGER) |
| Authorized Official Telephone | 6068860224 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOMETOWN FAMILY CARE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 02805 | KY | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
02805 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64061328 | 05 |
| Street Address |
400 UNIVERSITY DR |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736841 | Archer Clinic Laboratory | Clinical Medical Laboratory | 400 University Dr, Suite 105, Prestonsburg, KY 41653-1080 | 2005-08-04 |
| 1821641036 | Arh Tug Valley Health Services, Inc. | Physician Assistant | 400 University Dr, Prestonsburg, KY 41653-1080 | 2019-07-17 |
| 1235577628 | Matthew Kyle Turner | Family Medicine | 400 University Dr, Prestonsburg, KY 41653-1080 | 2013-06-07 |
| 1811265200 | Cooley Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 400 University Dr, Suite 104, Prestonsburg, KY 41653-1080 | 2011-12-13 |
| 1952691057 | Jls Medical Enterprises Psc | Physician Assistant | 400 University Dr, Suite 201b, Prestonsburg, KY 41653-1080 | 2011-04-11 |
| 1114216777 | American Surgical Specialists, Pllc | Surgery | 400 University Dr, Suite 203, Prestonsburg, KY 41653-1080 | 2011-04-05 |
| 1316254261 | American Surgical Specialists, Pllc | Surgery | 400 University Dr, Suite 105, Prestonsburg, KY 41653-1080 | 2010-09-13 |
| 1609100692 | Kendra M Burgess | Physician Assistant | 400 University Dr, Suite 101-a, Prestonsburg, KY 41653-1080 | 2009-09-24 |
| 1871734913 | Highlands Medical Partners I LLC | Clinical Medical Laboratory | 400 University Dr, Suite 102, Prestonsburg, KY 41653-1080 | 2009-03-19 |
| 1023200920 | Chad O Patterson | Surgery | 400 University Dr, Suite 203, Prestonsburg, KY 41653-1080 | 2007-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588692503 | Jody Michael Johnson | Family Medicine | 5000 Ky Route 321, Suite 3141, Prestonsburg, KY 41653 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431543 | Stephanie Caudill | Family Medicine | 1145 W Lexington Ave Ste C, Winchester, KY 40391-1290 | 2020-09-12 |
| 1083231682 | Cherawen Group | Family Medicine | 4060 Troy Pike, Versailles, KY 40383-8924 | 2020-06-30 |
| 1295357531 | Unbound Treatment, Inc. | Family Medicine | 67 Harbor Dr, Jamestown, KY 42629-8036 | 2020-05-09 |
| 1891294336 | Nanncoh LLC | Family Medicine | 700 Envoy Cir Ste 702, Louisville, KY 40299-1812 | 2018-02-11 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1922496223 | Hope Recovery Center | Family Medicine | 9300 Shelbyville Rd Ste 506, Louisville, KY 40222-5164 | 2015-01-08 |
| 1629317391 | Burns Mack Brady | Family Medicine | 1017 W. Market St., Louisville, KY 40202 | 2013-01-31 |
| 1548533482 | Laurel County Sobriety Center Pllc | Family Medicine | 1658 East 192 Bypass, London, KY 40741 | 2012-02-22 |
| 1558328179 | Paul Wilson Craig II | Family Medicine | 6500 Highway 645, Suite 110, Inez, KY 41224 | 2006-04-27 |
| 1407856057 | Anthony Wade Alvarez | Family Medicine | 820 Dolwick Dr, Erlanger, KY 41018-2774 | 2005-07-26 |
| Find all providers with the same taxonomy | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on LIVING FREE RECOVERY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.