Provider Demographics
NPI:1144909706
Name:PEAK RECOVERY PROJECT, LLC
Entity type:Organization
Organization Name:PEAK RECOVERY PROJECT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:617-388-0072
Mailing Address - Street 1:5226 MAIN ST # C-1
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-0030
Mailing Address - Country:US
Mailing Address - Phone:615-800-6670
Mailing Address - Fax:
Practice Address - Street 1:5226 MAIN ST # C-1
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-0030
Practice Address - Country:US
Practice Address - Phone:615-800-6670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility