Reform Recovery, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

6401 Issued in FL

Legal business name

REFORM RECOVERY, INC.

Practice address

233B N Causeway
New Smyrna Beach, FL 32169-5239

Phone

(386) 402-4717

NPI assigned

Jun 23, 2017

Organization subpart

No

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

Authorized official

Name

Andrew Dykes

Title

President

Phone

(386) 402-4717

Specialties & licenses 1

Addresses

Tax ID family

Reform Recovery Inc2 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.

• Reform Recovery, Inc.

  • Mental Health Counselor
  • New Smyrna Beach, FL
  • NPI 1720502206
  NPD tax ID

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699295303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233B N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695239",
            "telephone_number": "386-402-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233B N CAUSEWAY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695239",
            "telephone_number": "386-402-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-402-4717"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "6401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farzana Rashid, NP
• RDC of Volusia, LLC
• Jessica M Reader, FNP-C
• Real Ear Inc (Advanced Hearing Centers of America)
• Jeannine A Reed, ARNP
• Reform Recovery, Inc.
• Veronique Rega, L.M.T.
• Charles D Register, OD
• Renaissance Home Therapy Inc
• William Rengifo Cam, MD

• Substance Abuse Rehabilitation Facility in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.