Provider Demographics
NPI:1285107003
Name:RECOVERY ASSOCIATES GROUP, AT SOUTHWIND, LLC
Entity type:Organization
Organization Name:RECOVERY ASSOCIATES GROUP, AT SOUTHWIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCHERRI
Authorized Official - Middle Name:N
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-618-4733
Mailing Address - Street 1:3257 W SARAZENS CIR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-0807
Mailing Address - Country:US
Mailing Address - Phone:901-590-4106
Mailing Address - Fax:901-343-0792
Practice Address - Street 1:3257 W SARAZENS CIR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-0807
Practice Address - Country:US
Practice Address - Phone:901-590-4106
Practice Address - Fax:901-343-0792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty