A WAY OUT RECOVERY INC
NPI 1255978490
Counselor - Addiction (Substance Use Disorder) in Shakopee, MN

Active since December 06, 2019
1240 3RD AVE E STE 107, SHAKOPEE, MN 55379(612) 916-8770 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2021, Dec 6, 2019 (2 updates tracked since 2019).

About A Way Out Recovery Inc NPPES

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

A WAY OUT RECOVERY INC (NPI 1255978490) is a healthcare organization registered as an addiction (substance use disorder) in Shakopee, Minnesota and active in the NPI registry since December 2019. The organization lists Derrick Wade Haase, President, as its authorized official.

NPPES Registry Identity

NPI1255978490
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameA WAY OUT RECOVERY INC
Location Address1240 3RD AVE E STE 107Shakopee, MN 55379-1749
Mailing Address1240 3rd Ave E Ste 107Shakopee, MN 55379-1749
Organization SubpartNo
Authorized OfficialDerrick Wade HaasePresident · (612) 916-8770
Enumeration DateDecember 6, 2019
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1255978490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1240 3RD AVE E STE 107, Shakopee, MN 55379

Other Names 1

Other NameA Way Out Recovery Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Early Intervention Provider Agency
1240 3RD AVE E STE 107
SHAKOPEE, MN 55379
Clinic/Center (Rehabilitation, Substance Use Disorder)
1240 3RD AVE E STE 107
SHAKOPEE, MN 55379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Way Out Recovery Inc's NPI number?

The NPI number for A Way Out Recovery Inc is 1255978490. It was assigned to this organization in the NPPES registry on December 6, 2019.

Where is A Way Out Recovery Inc located?

A Way Out Recovery Inc is located at 1240 3rd Ave E Ste 107, Shakopee, MN 55379. The listed phone number is (612) 916-8770.

What is A Way Out Recovery Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for A Way Out Recovery Inc was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.