Provider Demographics
NPI:1538605019
Name:ADVANCED COUNSELING & RECOVERY LLC
Entity type:Organization
Organization Name:ADVANCED COUNSELING & RECOVERY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LLP LPC
Authorized Official - Phone:248-915-4127
Mailing Address - Street 1:1112 CATALPA DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-1125
Mailing Address - Country:US
Mailing Address - Phone:248-915-4127
Mailing Address - Fax:
Practice Address - Street 1:1110 CATALPA DR
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-1125
Practice Address - Country:US
Practice Address - Phone:248-915-4127
Practice Address - Fax:248-581-4280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 103TC0700X, 261Q00000X
MI6301013481101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6301013481OtherSTATE OF MICHIGAN LLP LICENSE
MI103TC0700XOtherNPI PSYCHOLOGIST-CLINICAL
MI6361005801OtherPSYCHOLOGICAL ASSOCIATE MASTERS LIMITED PSYCHOLOGIST LICENSE