PARTNERS IN RECOVERY, LLC - NPI 1184476962 - Clinic/Center in Phoenix, AZ

Q: What is Partners In Recovery, LLC's NPI number?

The NPI number for Partners In Recovery, LLC is 1184476962. It was assigned to this organization in the NPPES registry on April 3, 2024. The provider is doing business as Partners In Recovery Metro Center Integrated Care Clinic.

Q: What is Partners In Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Partners In Recovery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARTNERS IN RECOVERY, LLC (NPI 1184476962), doing business as Partners In Recovery Metro Center Integrated Care Clinic, is a healthcare organization registered as a clinic/center in Phoenix, Arizona and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Latrice Shannon Hickman, Chief Risk And Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1184476962

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePARTNERS IN RECOVERY, LLC

Location Address10217 N METRO PKWY WPhoenix, AZ 85051-1438

Mailing Address924 N Country Club DrMesa, AZ 85201-4108 · (480) 969-3800

Phone(602) 997-9006

Fax(602) 997-4585

Organization SubpartNo

Authorized OfficialLatrice Shannon HickmanChief Risk And Compliance Officer · (480) 431-9008

Enumeration DateApril 3, 2024

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1184476962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

10217 N METRO PKWY W, Phoenix, AZ 85051

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Other Names 1

Doing Business AsPartners In Recovery Metro Center Integrated Care Clinic

Other Identifiers 1

OtherOTC13278AZ · Arizona Department Of Health Services - Licensing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1075747

Partners In Recovery, LLC · Phoenix, AZ

Active · expires Oct 25, 2027

CLIA Number03D1075747

Laboratory TypeOther

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorDarwyn B. Chern

Laboratory Phone(602) 568-7953

Laboratory LocationPartners In Recovery, LLC10240 N 31st Avenue, Suite 200, Phoenix, AZ 85051

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH MICHAEL STEWART PMHNP

Nurse Practitioner (Psychiatric/Mental Health)