Modern Recovery, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MODERN RECOVERY, LLC

Practice address

702 Houston St # 118
Fort Worth, TX 76102-5004

Phone

(203) 200-8556

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Andrea Stiner

Title

Billing Director

Phone

(602) 694-9643

Specialties & licenses 1

Addresses

Tax ID family

Modern Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modern Recovery, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Tempe, AZ
  • NPI 1477104362
  NPD tax ID

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1417636309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 E VIA LINDA STE 2-617",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592655",
            "telephone_number": "602-694-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HOUSTON ST # 118",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025004",
            "telephone_number": "203-200-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "STINER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "602-694-9643"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Moccia, PA
• Lisa Elaine Mocek, PT
• Ikenna Modebelu
• Vinai Modini Modem, MD
• Modern Cardiac Clinic PLLC
• Modern Surgery Center of Fort Worth
• Apurva A Modi, M.D.
• Rebecca Modisette
• Modlin Development Resources PLLC
• Emily Carol Modlin, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.