Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antidote Recovery LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1467122051

Antidote Recovery LLC is an Addiction (Substance Use Disorder) Counselor in Jeffersonville, Indiana. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3310 E 10th St # 4-156
Jeffersonville, IN 47130-7285
Phone: (812) 624-1180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1467122051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Magallanez — Ceo · (812) 624-1180
Other names Antidote Recovery; R. Miguel Magallanez Lcsw
NPI enumeratedSeptember 15, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address3310 E 10th St # 4-156, Jeffersonville, IN 47130-7285

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