Provider Demographics
NPI:1851100093
Name:ALL STAR WELLNESS AND RECOVERY LLC
Entity type:Organization
Organization Name:ALL STAR WELLNESS AND RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-646-3911
Mailing Address - Street 1:24 TOWNSHIP ROAD 1233
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-8413
Mailing Address - Country:US
Mailing Address - Phone:740-646-3911
Mailing Address - Fax:
Practice Address - Street 1:417 B 3RD AVENUE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619
Practice Address - Country:US
Practice Address - Phone:740-646-3911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health