CLARKSVILLE TREATMENT CENTER, LLC (NPI# 1770124380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770124380 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE TREATMENT CENTER, LLC |
| Practice Address |
495 Dunlop Lane Clarksville TN 37040 |
| Mailing Address |
6185 Paseo Del Norte, Ste 150 Carlsbad CA 92011 |
| Practice Telephone | 8558519336 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | KIM SANDERSON (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clarksville Comprehensive Treatment Center | Doing Business As Name - Organization |
| Street Address |
495 DUNLOP LANE |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| 1366984841 | Krystal Lynn Pulley | Registered Nurse | 330 Pageant Lane, Clarksville, TN 37040 | 2016-11-15 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1902467913 | New Hope Treatment Center of Tennessee LLC | Clinic/Center | 135 Fox and Hound Way, Newport, TN 37821-8074 | 2019-06-21 |
| 1033624853 | East Tennessee Healthcare Holdings Inc | Clinic/Center | 203 Gray Commons Cir Ste 110, Gray, TN 37615-5407 | 2017-12-04 |
| 1871752105 | Raleigh Professional Associates | Clinic/Center | 1869 Highway 45 Byp, Suite 5, Jackson, TN 38305-2464 | 2008-06-02 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| 1740889575 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 589 Stewarts Ferry Pike, Nashville, TN 37214 | 2020-10-22 |
| 1649897802 | The Patricia Hall Talbott Legacy Centers, LLC | Clinic/Center | 1821 W Broadway Ave, Maryville, TN 37801-5511 | 2020-07-02 |
| 1568009181 | Bhg Xxvii, LLC | Clinic/Center | 85 Harrison St, Savannah, TN 38372-2280 | 2019-12-02 |
| 1487025557 | Solutions of Savanannh, Inc. | Clinic/Center | 85 Harrison St, Savannah, TN 38372-2280 | 2015-10-14 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.