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

Scottsdale Providence Recovery Center

Organization Addiction (Substance Use Disorder) Counselor · NPI 1740641612

Scottsdale Providence Recovery Center is an Addiction (Substance Use Disorder) Counselor in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Specialties on file
8
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Practice location Address checks out

8889 E Via Linda
Scottsdale, AZ 85258-5420
Phone: (480) 284-7440
Fax: (480) 284-4178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence BH4837 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence BH4837 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence BH4837 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence BH4837 (AZ)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence BH4837 (AZ)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence BH4837 (AZ)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence BH4837 (AZ)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence BH4837 (AZ)

Record details

NPI number1740641612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Nichols — Clinical Director · (480) 284-7440
NPI enumeratedMarch 18, 2016
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address8889 E Via Linda, Scottsdale, AZ 85258-5420

Other providers in Scottsdale