Recovery Road LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RECOVERY ROAD LLC

Practice address

1757 Stilesgate St SE
Grand Rapids, MI 49508-5517

Phone

(616) 916-3836

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Preston R Smith

Title

Owner

Phone

(616) 916-3836

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1396083861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 STILESGATE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085517",
            "telephone_number": "616-916-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 STILESGATE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085517",
            "telephone_number": "616-916-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-916-3836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reclaim Life Therapy PLLC
• Reconciliation of Life
• Recover Health, PLLC
• Recover Peace LLC
• Recovery Road Charitable Non Profit Organization
• Kay Marie Rector, MPT
• Red Brick Counseling LLC
• Brandi Redd
• Colten Redder, PHARMD
• Emily Kniowski Redder, RDN

• Addiction (Substance Use Disorder) Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.