Provider Demographics
NPI:1184515439
Name:LFG RECOVERY
Entity type:Organization
Organization Name:LFG RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:GODFREY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-420-0906
Mailing Address - Street 1:4900 NORTHSHORE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-5321
Mailing Address - Country:US
Mailing Address - Phone:501-501-3223
Mailing Address - Fax:501-999-0180
Practice Address - Street 1:4900 NORTHSHORE LN
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-5321
Practice Address - Country:US
Practice Address - Phone:510-501-3223
Practice Address - Fax:501-999-0180
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LFG RECOVERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)