RECOVERY MOBILE CLINIC (NPI# 1902431653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902431653 |
| Entity Type | Organization |
| Organization Name | RECOVERY MOBILE CLINIC |
| Practice Address |
3050 Steeple Road White Lake MI 48383 |
| Mailing Address |
7111 Dixie Hwy # 142 Clarkston MI 48346-2077 |
| Practice Telephone | 2485635735 |
| Mailing Telephone | 2485635735 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | MRS. JORDANA LEANNE LATOZAS (CEO/OWNER) |
| Authorized Official Telephone | 2485635735 |
| Authorized Official Credential | ACNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3050 Steeple Hill Rd, White Lake, MI 483831864 | 2487897014 | |
| 3751 N Dixie, Monroe, MI 48162 | 2485635735 |
| Street Address |
3050 STEEPLE ROAD |
| City | WHITE LAKE |
| State | MI |
| Zip Code | 48383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538656590 | Papuga Transportation Inc | Non-emergency Medical Transport (VAN) | 5924 Raup Rd, White Lake, MI 48383 | 2018-04-16 |
| 1326583170 | John Penley | Physical Medicine & Rehabilitation | 1630 Bogie Lake Rd, White Lake, MI 48383 | 2017-01-04 |
| 1083957146 | Kristin Varner | Social Worker | 6090 Rosewood Pkwy, White Lake, MI 48383 | 2013-03-27 |
| 1285868497 | Gloria Lynne Wilson | Registered Nurse | 6120 Rosewood Parkway, White Lake, MI 48383 | 2009-05-04 |
| 1215950019 | Thomas G Czarnecki | Chiropractor | 7025 Capri Dr, White Lake, MI 48383 | 2006-07-25 |
| 1669651550 | Josephine Mary Marks | Registered Nurse | 3874 Silver Birch, White Lake, MI 48383-1062 | 2007-10-29 |
| 1346794708 | Marisa Matthews | Dental Hygienist | 5780 Eagle Rd, White Lake, MI 48383-1210 | 2016-08-15 |
| 1184987299 | Angela Joerin | Psychologist | 5186 Lindholm Dr, White Lake, MI 48383-1447 | 2012-06-22 |
| 1124176508 | Brian Wade Dawson | Social Worker | 5150 Lake Grove Dr, White Lake, MI 48383-1452 | 2007-01-08 |
| 1730675000 | Amanda Vanooyen | Occupational Therapist | 4695 Fox Chase Dr, White Lake, MI 48383-1682 | 2018-07-10 |
| Find all providers in zip 48383 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017780 | B & G Wellness Inc | Clinic/Center | 9178 Highland Rd Ste 1, White Lake, MI 48386-4619 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 48383 |
Please comment or provide details below to improve the information on RECOVERY MOBILE CLINIC.
| 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.