Provider Demographics
NPI:1124415328
Name:PSYCHACCESS AND RECOVERY SOLUTIONS, LLC
Entity type:Organization
Organization Name:PSYCHACCESS AND RECOVERY SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:EHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-808-9096
Mailing Address - Street 1:8665 BAYPINE RD STE 215
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7541
Mailing Address - Country:US
Mailing Address - Phone:844-808-9096
Mailing Address - Fax:904-638-8752
Practice Address - Street 1:8665 BAYPINE RD STE 215
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7541
Practice Address - Country:US
Practice Address - Phone:844-808-9096
Practice Address - Fax:904-638-8752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-25
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994442251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health