OrganizationActive
Phoenix Recovery, LLC
NPI 1861053183 · Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
Provider details
- NPI number
- 1861053183
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amond Tillman, Substance Abuse Therapist(203) 243-6170
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4270 Main St Ste 200
Bridgeport, CT 06606-2306
Phone: (203) 243-6170
Street-level locationGet directions
Mailing address
14 Marie Dr Apt 12
Seymour, CT 06483-3665
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2019-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.