Radical Recovery LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RADICAL RECOVERY LLC

Practice address

2323 16TH Ave S Ste 308
Moorhead, MN 56560-3862

Phone

(218) 284-1515

Fax

(218) 213-8917

NPI assigned

Jan 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Leane Marie Lafrance, LADCNPI 1447734470

Title

Owner

Phone

(218) 277-8560

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leane Marie Lafrance, LADC, ADCR-MN

  • Addiction (Substance Use Disorder) Counselor
  • Moorhead, MN
  • NPI 1447734470
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579305600000",
    "number": "1386117968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 16TH AVE S STE 308",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603862",
            "telephone_number": "218-284-1515",
            "fax_number": "218-213-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 16TH AVE S STE 308",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603862",
            "telephone_number": "218-284-1515",
            "fax_number": "218-213-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Center Ave W",
            "address_purpose": "LOCATION",
            "city": "Dilworth",
            "state": "MN",
            "postal_code": "565291339",
            "country_code": "US",
            "telephone_number": "218-284-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADICAL RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A",
        "authorized_official_last_name": "LAFRANCE",
        "authorized_official_first_name": "LEANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-277-8560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.