Provider Demographics
NPI:1992556757
Name:ELEV8 RECOVERY SOLUTIONS LLC
Entity type:Organization
Organization Name:ELEV8 RECOVERY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/CO FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KENNY
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:LUNSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:AOD COUNSELOR
Authorized Official - Phone:530-828-3640
Mailing Address - Street 1:PO BOX 6228
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-1228
Mailing Address - Country:US
Mailing Address - Phone:530-828-3640
Mailing Address - Fax:
Practice Address - Street 1:5075 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6927
Practice Address - Country:US
Practice Address - Phone:530-828-3640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder