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Community Addiction Recovery Llc
Addiction Medicine (Preventive Medicine) Physician in Stanton, Kentucky
NPI 1356022693

Community Addiction Recovery Llc is an Addiction Medicine (Preventive Medicine) Physician based in Stanton, KY and is specialized in Addiction Medicine. Community Addiction Recovery Llc practices in Stanton, KY. The NPI Number for Community Addiction Recovery Llc is 1356022693 and holds a License No. (Kentucky).

The current practice location address for Community Addiction Recovery Llc is 436 South Main St, Stanton, KY and can be reached out via phone at 606-663-7597 and via fax at 606-663-7652. You can also correspond with Community Addiction Recovery Llc through the mailing address at PO BOX 1029, STANTON, KY - 40380-1029 (mailing address contact number: 606-663-7597).

Location: 436 South Main St, Stanton, KY, 40380-1029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356022693
Provider Name
Community Addiction Recovery Llc
Credential
Provider Entity Type
Organization
Address
436 South Main St, Stanton, KY, 40380-1029
Phone Number
606-663-7597
Fax Number
606-663-7652
Provider Enumeration Date
07/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
436 South Main St
City
Stanton
State
Kentucky
Zip
40380-2189
Phone Number
606-663-7597
Fax Number
606-663-7652
person
Provider Business Mailing Address Details
Address
436 South Main St
City
Stanton
State
Kentucky
Zip
40380-2189
Phone Number
606-663-7597
Fax Number
606-663-7652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
()
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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