Innovative Recovery Services LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

INNOVATIVE RECOVERY SERVICES LLC

Practice address

2051 Mars Ave
Apt D5
Las Cruces, NM 88012-7712

Phone

(575) 915-8367

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Mendoza

Title

Ladac, Owner

Phone

(575) 915-8367

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1871033167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MARS AVE",
            "address_2": "APT D5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127712",
            "telephone_number": "575-915-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARS AVE",
            "address_2": "APT D5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127712",
            "telephone_number": "575-915-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "LADAC, OWNER",
        "authorized_official_telephone_number": "575-915-8367"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.