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

Mayne Road Recovery LLC

Organization Counselor · NPI 1528917473

Mayne Road Recovery LLC is a Counselor in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
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

5741 Carlton Way Apt 101
Los Angeles, CA 90028-6744
Phone: (747) 350-4976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X

Record details

NPI number1528917473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryant Scott — Owner · (747) 466-0124
NPI enumeratedJanuary 23, 2026
Last updated in NPPESJanuary 24, 2026
Certification dateJanuary 24, 2026
Mailing address5741 Carlton Way Apt 101, Los Angeles, CA 90028-6744

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