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LEWISBURG RECOVERY CENTER LLC NPI 1861132904


NPI Information

NPI: 1861132904
Provider Name: LEWISBURG RECOVERY CENTER, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 44D2271233

Address:
1149 NASHVILLE HWY
LEWISBURG, TN
ZIP 37091
Phone: (931) 422-2444
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LEWISBURG RECOVERY CENTER, LLC is a rehabilitation and substance use disorder clinic center in Lewisburg, TN. LEWISBURG RECOVERY CENTER, LLC NPI is 1861132904. The provider is registered as an organization entity type.

The provider's business location address is:

1149 NASHVILLE HWY
LEWISBURG, TN
ZIP 37091-236
Phone: (931) 422-2444
Fax: (931) 422-2445

The provider's authorized official is Thomas Dean .
The authorized official title is Owner and has the following contact phone number (931) 698-1794.

The CLIA number assigned to this NPI record is 44D2271233 - other - opiod treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 3/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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