TRUE SELF RECOVERY LLC (NPI# 1285273219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285273219 |
| Entity Type | Organization |
| Organization Name | TRUE SELF RECOVERY LLC |
| Other Organization Name | TRUE SELF RECOVERY LLC |
| Practice Address |
1104 N 2nd St Rogers AR 72756-2834 |
| Practice Telephone | 8777062650 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | WILL BURSE (OWNER) |
| Authorized Official Telephone | 4793355999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| True Self Recovery LLC | Doing Business As Name - Organization |
| Street Address |
1104 N 2ND ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306484860 | Eaglecrest Recovery LLC | Clinic/Center | 1106 Sw 2nd St, Bentonville, AR 72712-5026 | 2019-12-16 |
| 1407407570 | Serenity Park Recovery Clinic | Clinic/Center | 2711 W Roosevelt Rd, Little Rock, AR 72204-5668 | 2019-09-20 |
| 1447723143 | Sozo Recovery Centers Inc | Clinic/Center | 243 Nathan Ter, Jessieville, AR 71949-9289 | 2019-01-04 |
| 1346642634 | Addiction & Mental Health Services, LLC | Clinic/Center | 11215 Hermitage Rd Ste 204, Little Rock, AR 72211-3864 | 2014-09-18 |
| 1942403696 | Gateway House Inc | Clinic/Center | 3900 Armour Avenue, Fort Smith, AR 72904-4317 | 2007-06-08 |
| 1902443229 | Quapaw House | Clinic/Center | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2019-12-05 |
| 1255977054 | University of Arkansas for Medical Sciences | Clinic/Center | 4224 Shuffield Drive, Little Rock, AR 72205-7101 | 2019-11-27 |
| 1447780952 | Arc Rehabilitation Center Pa | Clinic/Center | 1 Lile Ct Ste 103, Little Rock, AR 72205-6239 | 2017-06-16 |
| 1013461987 | Jefferson Comprehensive Counseling Associates | Clinic/Center | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2016-08-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.