CRC HEALTH TREATMENT CLINICS, LLC (NPI# 1235675125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235675125 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH TREATMENT CLINICS, LLC |
| Other Organization Name | SHELBYVILLE COMPREHENSIVE TREATMENT CENTER |
| Practice Address |
213 Midland Blvd. Shelbyville KY 40065-7791 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 5026470154 |
| Practice Fax Number | 5026334043 |
| Mailing Telephone | 7607100819 |
| Mailing Fax Number | 8775520439 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | PETER F. MORRIS (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 6157211297 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
KY | Ambulatory Health Care Facilities | |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shelbyville Comprehensive Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405749 | Crc Health Treatment Clinics, LLC | Clinic/Center | 4553 Watkins Street, Pace, FL 32571-2511 | 2020-10-22 |
| 1770951527 | Crc Health Treatment Clinics, LLC | Counselor | 6639 Southpoint Pkwy, Ste 108, Jacksonville, FL 32216-8041 | 2015-09-10 |
| Street Address |
213 MIDLAND BLVD. |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-7791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730691189 | Maysville Medical, LLC | Clinic/Center | 152 E 2nd St, Maysville, KY 41056-1264 | 2017-10-25 |
| 1053823492 | Carroll Counseling, LLC | Clinic/Center | 539a 11th St, Carrollton, KY 41008-1463 | 2017-10-25 |
| 1720590177 | Simpson Treatment, LLC | Clinic/Center | 2714 Nashville Rd, Franklin, KY 42134-7845 | 2017-10-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1871027854 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1402a Browns Ln, Louisville, KY 40207-4609 | 2017-04-17 |
| 1083148076 | Etown Addiction Solutions, LLC | Clinic/Center | 2645 Leitchfield Rd Ste 104, Elizabethtown, KY 42701-8306 | 2017-04-17 |
| 1669905857 | Daviess Treatment Services LLC | Clinic/Center | 3032 Us Highway 60 E, Owensboro, KY 42303-0288 | 2017-04-05 |
| 1063824381 | Georgetown Medical, LLC | Clinic/Center | 105 Eastside Dr, Suites A, B, and C, Georgetown, KY 40324-9797 | 2014-05-21 |
| 1619395605 | Western Ky Medical, LLC | Clinic/Center | 609 Hammond Plz, Hopkinsville, KY 42240-4971 | 2014-04-07 |
| 1578986345 | Bhg Xxxiv, LLC | Clinic/Center | 967 S. Highway 25 W, Corbin, KY 40701-4543 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.