Provider Demographics
NPI:1295204022
Name:HARPETH RECOVERY CLINIC
Entity type:Organization
Organization Name:HARPETH RECOVERY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHELETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-626-3565
Mailing Address - Street 1:3011 HARRAH DR STE T
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6254
Mailing Address - Country:US
Mailing Address - Phone:615-614-1300
Mailing Address - Fax:615-614-1336
Practice Address - Street 1:3011 HARRAH DR STE T
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-6254
Practice Address - Country:US
Practice Address - Phone:615-614-1300
Practice Address - Fax:615-614-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-22
Last Update Date:2018-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
1215064852OtherNPI
WY45671OtherMEDICAL LICENSE