FAIRHAVEN HOLDINGS LLC NPI 1639500309

NPI Information

NPI: 1639500309
Provider Name: FAIRHAVEN HOLDINGS, LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: FAIRHAVEN TREATMENT CENTER
Address: 890 N HOUSTON LEVEE RD
CORDOVA, TN
ZIP 38018
Phone: (901) 757-7979

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NPI Details

FAIRHAVEN HOLDINGS, LLC is a mental health (including community mental health center) clinic center in Cordova, TN. FAIRHAVEN HOLDINGS, LLC NPI is 1639500309. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fairhaven Treatment Center.

The provider's business location address is:

890 N HOUSTON LEVEE RD
CORDOVA, TN
ZIP 38018-614
Phone: (901) 757-7979
Fax: (901) 757-7980

The provider's authorized official is Teri H Mccann .
The authorized official title is Clinical Director and has the following contact phone number (901) 832-9192.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 2/7/2023.

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
1	101YM0800X	Counselor	Mental Health			No
2	103T00000X	Psychologist				No
3	251S00000X	Community/Behavioral Health		14386	TENNESSEE	No
4	261QM0850X	Clinic/Center	Adult Mental Health			No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
6	323P00000X	Psychiatric Residential Treatment Facility		14386	TENNESSEE	No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 11/21/2025

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