CRC RECOVERY, INC. (NPI# 1710453485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710453485 |
| Entity Type | Organization |
| Organization Name | CRC RECOVERY, INC. |
| Practice Address |
3584 Fairlanes Ave. Sw Ste 2 Grandville MI 49418-1583 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 6162225300 |
| Practice Fax Number | 6162225309 |
| Mailing Telephone | 7607100819 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | PETER 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 |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Western Michigan Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1396149068 | Crc Recovery, Inc. | Clinic/Center | 522 South Maple Road, Ann Arbor, MI 48103-3837 | 2014-10-09 |
| 1821418096 | Crc Recovery, Inc. | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2014-04-25 |
| 1306078084 | Crc Recovery, Inc. | Clinic/Center | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2009-08-14 |
| 1750857520 | Crc Recovery, Inc. | Counselor | 522 S Maple Rd, Ann Arbor, MI 48103-3837 | 2018-10-19 |
| 1942670559 | Crc Recovery, Inc. | Counselor | 3584 Fairlanes Ave Sw, Ste 2, Grandville, MI 49418-1583 | 2015-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CRC RECOVERY, INC. | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
3584 FAIRLANES AVE. SW STE 2 |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-1583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110957 | Beville Counseling LLC | Counselor | 3705 44th St Sw, Grandville, MI 49418-2415 | 2020-07-06 |
| 1558998146 | Patrick J Sundt | Counselor | 2845 44th St Sw Ste 100, Grandville, MI 49418-2678 | 2020-03-24 |
| 1497301774 | Kozfkay Counseling, LLC | Counselor | 185 44th St Sw, Grandville, MI 49418-3363 | 2019-08-13 |
| 1447798434 | Jettie Velthouse | Counselor | 4301 Canal Ave Sw # M, Grandville, MI 49418-2667 | 2017-02-09 |
| 1942354733 | Marielle Ruth Kuzee | Counselor | 3924 Basswood Dr Sw, Grandville, MI 49418-2006 | 2007-01-22 |
| 1285241463 | Heinlen Counseling Pllc | Counselor | 3181 Prairie St Sw Ste 112, Grandville, MI 49418-2076 | 2020-09-30 |
| 1225526429 | Ashley Anne Kozfkay | Counselor | 185 44th St Sw Ste E, Grandville, MI 49418-3363 | 2018-04-24 |
| 1114463593 | Lisbet Brito | Counselor | 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418-2371 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
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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.