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SELF-DISCOVERY RECOVERY LLC
NPI 1497537658
Counselor - Professional in Los Lunas, NM

Active since October 20, 2023
1052 MAIN ST NE, LOS LUNAS, NM 87031(505) 603-8633 Get Directions Write a Review

NPPES record last updated: January 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2023, Oct 20, 2023 (2 updates tracked since 2023).

About Self-discovery Recovery Llc NPPES

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

SELF-DISCOVERY RECOVERY LLC (NPI 1497537658) is a healthcare organization registered as a professional in Los Lunas, New Mexico and active in the NPI registry since October 2023. The organization lists Gerasimos Demosthenis Klonis, Manager, as its authorized official.

NPPES Registry Identity

NPI1497537658
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSELF-DISCOVERY RECOVERY LLC
Location Address1052 MAIN ST NELos Lunas, NM 87031-7436
Mailing Address2980 Clear Sky St SwLos Lunas, NM 87031-6453 · (505) 603-8633
Phone(505) 603-8633
Organization SubpartNo
Authorized OfficialGerasimos Demosthenis KlonisManager · (505) 603-8633
Enumeration DateOctober 20, 2023
Last NPPES UpdateJanuary 14, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2024
✔ NPI 1497537658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1052 MAIN ST NE, Los Lunas, NM 87031
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Other Identifiers 1

Medicaid19024576NM

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.

AMABLE THERAPIES INC.
Speech-Language Pathologist
1052 MAIN ST NE
LOS LUNAS, NM 87031
Valencia County (505) 866-9806
COLE KNIGHT
Community Health Worker
1052 MAIN ST NE
LOS LUNAS, NM 87031
Valencia County (505) 865-4140

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 Self-Discovery Recovery LLC's NPI number?

The NPI number for Self-Discovery Recovery LLC is 1497537658. It was assigned to this organization in the NPPES registry on October 20, 2023.

Where is Self-Discovery Recovery LLC located?

Self-Discovery Recovery LLC is located at 1052 Main St NE, Los Lunas, NM 87031. The listed phone number is (505) 603-8633.

What is Self-Discovery Recovery LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Self-Discovery Recovery LLC was last updated on January 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.