Victory Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VICTORY RECOVERY LLC

Practice address

1045 E University Dr Ste B
Mesa, AZ 85203-8000

Phone

(480) 416-4813

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Max Hall

Title

Co-Owner

Phone

(480) 416-4813

Specialties & licenses 3

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Martin New, MSW, LICSW

  • Clinical Social Worker
  • Concord, NH
  • NPI 1831404243
  NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1700517265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E UNIVERSITY DR STE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E UNIVERSITY DR STE B",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038000",
            "telephone_number": "480-416-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-416-4813"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "max@victoryrecovery.org",
            "affiliation": "N",
            "address_1": "1045 E University Dr Ste B",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852038000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vicena Chiropractic SC
• Celina Vicente Rojas
• Vicki L. Eaton, PC
• Victory Health Solution LLC
• Victory Hospice, LLC.
• Deepali Dhananjay Vidwans
• Avilio A Vieira, PSY.D
• Mark Viggiani, COTA
• Margarita Escoto Vigil, MS, LAC, CCTS-F
• Natalie A Vigil, COTA/L

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.