Living Free Recovery, Pllc

LBN: Living Free Recovery, Pllc
Living Free Recovery, Pllc is an health care organization with primary practice located at 400 University Dr , Prestonsburg KY 41653-1080. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Living Free Recovery, Pllc can be contacted via phone (606) 886-0224, or through Fairchild, Mary via phone (606) 886-0224.

Contact Information

Primary practice address
400 University Dr Prestonsburg KY 41653-1080
Phone: (606) 886-0224
Fax: (606) 886-9908
Website:
Map and Directions
Authorized official contact:
Name: Fairchild, Mary
Phone: (606) 886-0224

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02805 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 02805 Kentucky

Profile Details

NPI number 1255881033
LBN Legal business name Living Free Recovery, Pllc
DBA Doing business as
Authorized official Fairchild, Mary
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 5th, 2016
Last updated Oct 5th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255881033 NPPES
Kentucky MEDICAID 64061328

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