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ROUND TABLE RECOVERY, LLC
NPI 1316225444
Community/Behavioral Health in Prescott, AZ

Active since July 22, 2011
711 S GRANITE ST, SUITE B, PRESCOTT, AZ 86303(928) 533-2887(928) 776-4781 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Round Table Recovery, Llc NPPES

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

ROUND TABLE RECOVERY, LLC (NPI 1316225444) is a healthcare organization registered as a community/behavioral health in Prescott, Arizona and active in the NPI registry since July 2011. The organization lists Ira N Nishikawa, Director, as its authorized official.

NPPES Registry Identity

NPI1316225444
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameROUND TABLE RECOVERY, LLC
Location Address711 S GRANITE ST, SUITE BPrescott, AZ 86303-4241
Mailing Address711 S Granite St, Suite BPrescott, AZ 86303-4241 · (928) 533-2887 · Fax (928) 776-4781
Phone(928) 533-2887
Fax(928) 776-4781
Organization SubpartNo
Authorized OfficialIra N NishikawaDirector · (928) 533-2887
Enumeration DateJuly 22, 2011
✔ NPI 1316225444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
711 S GRANITE ST, Prescott, AZ 86303
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Other Providers at the Same Location NPPES 4

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

JOHN PEMBERTON LCSW
Social Worker (Clinical)
711 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 713-2167
OASIS ADDICTION COUNSELING LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
711 S GRANITE ST, SUITE A
PRESCOTT, AZ 86303
Yavapai County (928) 533-4220
MAUREEN MICHAEL MS LPC
Counselor (Professional)
711 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 493-4373
MACHELE NECKER LPC
Counselor (Mental Health)
711 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (602) 517-5176

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 Round Table Recovery, LLC's NPI number?

The NPI number for Round Table Recovery, LLC is 1316225444. It was assigned to this organization in the NPPES registry on July 22, 2011.

Where is Round Table Recovery, LLC located?

Round Table Recovery, LLC is located at 711 S Granite St Suite B, Prescott, AZ 86303. The listed phone number is (928) 533-2887.

What is Round Table Recovery, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Round Table Recovery, LLC was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.