BROOKHAVEN RETREAT LLC (NPI# 1174686976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174686976 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN RETREAT LLC |
| Practice Address |
1016 Ic King Rd Seymour TN 37865-3150 |
| Practice Telephone | 8655733656 |
| Mailing Telephone | 8655733656 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JACQUELINE DAWES (FOUNDER) |
| Authorized Official Telephone | 8657122100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | I2170969083 | TN | Residential Treatment Facilities |
| Street Address |
1016 IC KING RD |
| City | SEYMOUR |
| State | TN |
| Zip Code | 37865-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285492 | Southeast Behavioral Services | Behavioral Analyst | 10721 Chapman Hwy Ste 22, Seymour, TN 37865 | 2018-02-19 |
| 1932645884 | Emma Love Gilmartin | Physician Assistant | 11606 Chapman Hwy Ste 2, Seymour, TN 37865 | 2017-01-17 |
| 1295065209 | Angela Kay Phifer | Acupuncturist | 10339 Chapman Hwy, Unit 2, Seymour, TN 37865 | 2010-01-14 |
| 1154596286 | Southeast Oral Surgery PC | Dentist | 11548 Chapman Hwy, Seymour, TN 37865 | 2008-04-29 |
| 1639358278 | Marta Finnegan | Case Manager/Care Coordinator | 1016 I.c. King Rd, Seymour, TN 37865 | 2007-10-31 |
| 1053590695 | Mary D Headrick | Registered Nurse | 1016 I. C. King Rd, Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1225217706 | Melissa L Blaque | Case Manager/Care Coordinator | 1016 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1841479318 | Ilene L Graham | Licensed Practical Nurse | 1061 I.c. King Rd., Brookhaven Retreat, Seymour, TN 37865 | 2007-10-31 |
| 1851597272 | Bethany Ann Thomas | Dentist | 119 Maryville Highway, Suite B, Seymour, TN 37865 | 2007-06-22 |
| 1881800175 | Eric D Lee | Pharmacist | 1125 Creekside Village Way, Seymour, TN 37865 | 2007-05-15 |
| Find all providers in zip 37865 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694193 | Detox West Tennessee LLC | Substance Abuse Rehabilitation Facility | 370 N Cumberland St, Jackson, TN 38301-5470 | 2020-09-21 |
| 1003445917 | Nashville Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1037 Jefferson St, Nashville, TN 37208-2554 | 2020-04-02 |
| 1306476023 | Recovery Court of Sumner County, Inc. | Substance Abuse Rehabilitation Facility | 132 S Water Ave, Gallatin, TN 37066-2903 | 2020-01-22 |
| 1548890494 | Harmony Oaks Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 7609 Shallowford Rd, Chattanooga, TN 37421-2633 | 2020-01-20 |
| 1629618483 | Tennessee Recovery Clinic LLC | Substance Abuse Rehabilitation Facility | 131 Edenwold Rd, Madison, TN 37115-2428 | 2020-01-09 |
| 1598319063 | Spring 2 Life Ministries | Substance Abuse Rehabilitation Facility | 3196 Hill Creek Rd, Woodbury, TN 37190-6803 | 2019-08-01 |
| 1356994164 | Recovery Unplugged Nashville, LLC | Substance Abuse Rehabilitation Facility | 255 Wilson Pike Cir, Brentwood, TN 37027-5207 | 2019-07-21 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1801301452 | 4m Healthsystem Inc | Substance Abuse Rehabilitation Facility | 827 Virtue Rd, Knoxville, TN 37934-5344 | 2017-12-05 |
| 1477080976 | Journeypure Murfreesboro LLC | Substance Abuse Rehabilitation Facility | 1139 Nw Broad St Ste 102, Murfreesboro, TN 37129-2390 | 2017-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.