Provider Demographics
NPI:1881295467
Name:MENTAL HEALTH SERVICES AND RECOVERY LLC
Entity type:Organization
Organization Name:MENTAL HEALTH SERVICES AND RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CORNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-502-5523
Mailing Address - Street 1:1012 E SILVER SPRINGS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6777
Mailing Address - Country:US
Mailing Address - Phone:352-421-5692
Mailing Address - Fax:888-473-2963
Practice Address - Street 1:1012 E SILVER SPRINGS BLVD STE A
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6777
Practice Address - Country:US
Practice Address - Phone:352-421-5692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty