Provider Demographics
NPI:1366107591
Name:HASHTAG RECOVERY
Entity type:Organization
Organization Name:HASHTAG RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BYUS
Authorized Official - Suffix:
Authorized Official - Credentials:CADC III, MAC
Authorized Official - Phone:541-504-7535
Mailing Address - Street 1:365 NE COURT ST
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-1936
Mailing Address - Country:US
Mailing Address - Phone:541-504-7535
Mailing Address - Fax:541-504-7535
Practice Address - Street 1:365 NE COURT ST
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-1936
Practice Address - Country:US
Practice Address - Phone:541-504-7535
Practice Address - Fax:541-504-7535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty