Pro-Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRO-RECOVERY LLC

Practice address

321 Biden St Ste 703
Scranton, PA 18503-1447

Phone

(570) 880-0743

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Angela GilgallonNPI 1013575687

Title

Project Director

Phone

(570) 892-0302

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.

• Angela Gilgallon, CRS

  • Addiction (Substance Use Disorder) Counselor
  • Scranton, PA
  • NPI 1013575687
  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1750039319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BIDEN ST STE 703",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BIDEN ST STE 703",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031447",
            "telephone_number": "570-880-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "GILGALLON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "570-892-0302"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime ABA Consultants, LLC (Prime ABA)
• Primecare Pharmacy Services Inc
• Primemed PC
• Samuel Joseph Prisco, DMD
• Keith Michael Pritchyk, M.D.
• Professional Chiropractic Associates, P.C.
• Professional Orthopaedic Associates LTD
• Judith Galenas Pronko, RPH
• Provive Wellness Scranton LLC
• Lindsey Pucilowski, PA-C

• Community/Behavioral Health Agency in Scranton, PA
• Providers in Scranton, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.