The Creed of Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

THE CREED OF RECOVERY, LLC

Practice address

551 E Main St
Lancaster, OH 43130-3809

Phone

(614) 404-6008

NPI assigned

Jul 13, 2017

Organization subpart

No

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

Authorized official

Name

Andria Evans, CEO

Title

Ceo

Phone

(614) 404-6008

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1578085239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431550243",
            "telephone_number": "614-404-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303809",
            "telephone_number": "614-404-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CREED OF RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANDRIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-404-6008",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Tellier, LPN
• Christian Thomas Tencza, M.D.
• Christopher J Tencza, O.D.
• Kara Ann Tencza, M.D.
• Kathleen M. Thatcher, PA-C
• The Kroger Co
• The Kroger Co
• The Kroger Co
• The Lighthouse, Inc.
• The Recovery Center

• All providers in Lancaster, OH
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.