Provider Demographics
NPI:1992458400
Name:NOT FORGOTTEN RECOVERY
Entity type:Organization
Organization Name:NOT FORGOTTEN RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:DEATON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-402-5892
Mailing Address - Street 1:215 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-1247
Mailing Address - Country:US
Mailing Address - Phone:859-402-5892
Mailing Address - Fax:
Practice Address - Street 1:1100 US HIGHWAY 127 S STE B4
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4363
Practice Address - Country:US
Practice Address - Phone:859-402-5892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility