Provider Demographics
NPI:1922881622
Name:FLIP THE SCRIPT RECOVERY
Entity Type:Organization
Organization Name:FLIP THE SCRIPT RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SCHANEAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-506-0909
Mailing Address - Street 1:3100 COMMERCE CENTER PL STE 3276
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40211-1973
Mailing Address - Country:US
Mailing Address - Phone:502-409-8740
Mailing Address - Fax:
Practice Address - Street 1:3100 COMMERCE CENTER PL STE 3276
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211-1973
Practice Address - Country:US
Practice Address - Phone:502-409-8740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility