124 Recovery LLC
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Frankfort, KY
NPI 1043039704 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1043039704
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- 124 RECOVERY LLC
- Practice address
- 200 W Broadway St
Frankfort, KY 40601-1933 - Phone
- (502) 352-4904
- NPI assigned
- Oct 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Eric Jockers
- Title
- Owner
- Phone
- (502) 352-4904
National Provider Directory
Locations
200 W Broadway St
Frankfort, KY 40601
Phone (502) 352-4904
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes | ||
| Mental Health Counselor |
101YM0800X | |||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Case Manager/Care Coordinator |
171M00000X |
Addresses
Primary practice location
200 W Broadway St
Frankfort, KY 40601-1933
Mailing address
200 W Broadway St
Frankfort, KY 40601-1933
Phone (502) 352-4904
Other providers in Frankfort, KY
- 247 Medical LLC
- A1 Supports Services LLC
- Abba Case Management Adhc LLC
- Abilities Unlimited, LLC
- Above & Beyond Program, Inc.
All providers in Frankfort, KY · Addiction (Substance Use Disorder) Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.