Provider Demographics
NPI:1356744940
Name:THE RECOVERY COMPASS HOLDINGS LLC
Entity type:Organization
Organization Name:THE RECOVERY COMPASS HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCK
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:423-718-7301
Mailing Address - Street 1:2814 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5310
Mailing Address - Country:US
Mailing Address - Phone:615-478-0916
Mailing Address - Fax:
Practice Address - Street 1:2814 FOSTER AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-5310
Practice Address - Country:US
Practice Address - Phone:615-478-0916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health