Lifelong Recovery Center, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LIFELONG RECOVERY CENTER, LLC

Practice address

181 N Maddy St
McGregor, MN 55760-1410

Phone

(218) 391-6560

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer McIntosh, LADCNPI 1336958941

Title

Director

Phone

(218) 391-6560

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.

• Jennifer McIntosh

  • Addiction (Substance Use Disorder) Counselor
  • Duluth, MN
  • NPI 1336958941
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1447972005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "557600218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N MADDY ST",
            "city": "MCGREGOR",
            "state": "MN",
            "postal_code": "557601410",
            "telephone_number": "218-391-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-391-6560",
        "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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• Emily M Goranson, PA-C
• Luke Stanley Gould, LADC
• Gary Dean Hanson
• Judy Ann Hawley, PT, MAPL
• McGregor Area Dental PLLC
• McGregor Carefree Living
• Paul Mikunda, DC
• Keshia R Milbauer, DDS
• Mille Lacs Band of Ojibwe Indians

• Addiction (Substance Use Disorder) Counselor in McGregor, MN
• Providers in McGregor, 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 Sep 12, 2022; 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.