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SEAN PHILLIPS RECOVERY CENTER LLC
NPI 1407553894
Counselor - Addiction (Substance Use Disorder) in Loudonville, OH

Active since February 15, 2023
695 S MOUNT VERNON AVE, LOUDONVILLE, OH 44842(614) 832-7647 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sean Phillips Recovery Center Llc NPPES

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

SEAN PHILLIPS RECOVERY CENTER LLC (NPI 1407553894), doing business as Sean Phillips Recovery Center, is a healthcare organization registered as an addiction (substance use disorder) in Loudonville, Ohio and active in the NPI registry since February 2023. The organization lists Chauncey D Wallace, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1407553894
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSEAN PHILLIPS RECOVERY CENTER LLC
Location Address695 S MOUNT VERNON AVELoudonville, OH 44842-1414
Mailing Address604 Office PkwyWesterville, OH 43082-7938 · (614) 430-9590
Phone(614) 832-7647
Organization SubpartNo
Authorized OfficialChauncey D WallaceChief Executive Officer · (614) 832-7647
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1407553894 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
695 S MOUNT VERNON AVE, Loudonville, OH 44842
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Other Names 1

Doing Business AsSean Phillips Recovery Center

Other Identifiers 1

Medicaid1215407945OH

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

INCREASED BEHAVIOR ALTERNATIVES SUPPORT SERVICES, LLC
Community/Behavioral Health
695 S MOUNT VERNON AVE
LOUDONVILLE, OH 44842
Ashland County (419) 299-4229
JAC-LIN MANOR
Intermediate Care Facility, Intellectual Disabilities
695 S MOUNT VERNON AVE
LOUDONVILLE, OH 44842
Ashland County (419) 994-5700
THE SWITCH NATIONAL ANTI-TRAFFICKING NETWORK
Case Management
695 S MOUNT VERNON AVE
LOUDONVILLE, OH 44842
Ashland County (614) 813-4135

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 Sean Phillips Recovery Center LLC's NPI number?

The NPI number for Sean Phillips Recovery Center LLC is 1407553894. It was assigned to this organization in the NPPES registry on February 15, 2023. The provider is doing business as Sean Phillips Recovery Center.

Where is Sean Phillips Recovery Center LLC located?

Sean Phillips Recovery Center LLC is located at 695 S Mount Vernon Ave, Loudonville, OH 44842. The listed phone number is (614) 832-7647.

What is Sean Phillips Recovery Center LLC'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 Sean Phillips Recovery Center LLC was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.