Provider Demographics
NPI:1205693116
Name:TREATMENT RECOVERY ASSOCIATES LLC
Entity type:Organization
Organization Name:TREATMENT RECOVERY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-490-4546
Mailing Address - Street 1:62 MEDICAL DR STE C
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096-3305
Mailing Address - Country:US
Mailing Address - Phone:615-490-4546
Mailing Address - Fax:
Practice Address - Street 1:62 MEDICAL DR STE C
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096-3305
Practice Address - Country:US
Practice Address - Phone:615-490-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty