EXTREME RECOVERY LLC (NPI# 1336500040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336500040 |
| Entity Type | Organization |
| Organization Name | EXTREME RECOVERY LLC |
| Practice Address |
312 Montgomery St Ste 206 Alexandria VA 22314-1516 |
| Practice Telephone | 2024278687 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Authorized Official Name | MR. MARCUS PRITCHETT (MANAGER) |
| Authorized Official Telephone | 2024278687 |
| Is Organization Subpart | Y |
| Parent Organization Name | EXTREME RECOVERY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
312 MONTGOMERY ST STE 206 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280271 | Galaxy Residential Services LLC | Community/Behavioral Health | 7900 Andrus Rd Ste 12, Alexandria, VA 22306-3170 | 2019-08-14 |
| 1295387009 | Nlove Community Mental Health Center Inc | Community/Behavioral Health | 5040 Eisenhower Ave Apt 201, Alexandria, VA 22304-4876 | 2019-07-11 |
| 1659862324 | Louisiana Institute of Rehabilitative Services | Community/Behavioral Health | 6019 Dublin Rd, Alexandria, LA 71303-5237 | 2018-05-29 |
| 1174030076 | Alhaji Jalloh | Community/Behavioral Health | 2691 Centennial Ct, Alexandria, VA 22311-1303 | 2018-01-02 |
| 1467980037 | Dimensional Behavioral Health Services Incorporation | Community/Behavioral Health | 3600 Jackson St Ste 111b, Alexandria, LA 71303-3000 | 2017-05-26 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1649716671 | Healing Hands & Hearts Inc. | Community/Behavioral Health | 3600 Jackson St Ste 119, Alexandria, LA 71303-3096 | 2017-01-14 |
| 1902256886 | Kendalls Rehab Services of La | Community/Behavioral Health | 504 Calderwood Dr, Alexandria, LA 71303-2285 | 2016-06-21 |
| 1508249400 | Magnolia Family Services, LLC | Community/Behavioral Health | 2514 N Dearing St, Alexandria, VA 22302-1807 | 2015-07-09 |
| 1962843797 | International Psychological and Consulting Services, Inc. | Community/Behavioral Health | 113 South Patrick Street, Suite 203, Alexandria, VA 22314 | 2013-07-09 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
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| 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.