The Gift of Recovery, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE GIFT OF RECOVERY, LLC

Practice address

1801 SW Hillmoor Drive
Suite C-101
Port St. Lucie, FL 34952

Phone

(954) 805-0177

Fax

(888) 293-5884

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Hardage Jr.

Title

Ceo

Phone

(404) 809-7764

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1689143794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E RIVER DR",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633635",
            "telephone_number": "954-805-0177",
            "fax_number": "888-293-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SW HILLMOOR DRIVE",
            "address_2": "SUITE C-101",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "954-805-0177",
            "fax_number": "888-293-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GIFT OF RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "HARDAGE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-809-7764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTITIONER",
            "identifier": "MH11708",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Port St. Lucie, FL
• Providers in Port St. Lucie, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.