MEDICARE: COMMITTED TO RECOVERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	363LF0000X	Family Nurse Practitioner
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1487435426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMITTED TO RECOVERY LLC

Provider Business Mailing Address
First Line	:	2039 FLETCHER CREEK DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-7059
Country	:	US
Telephone Number	:	901-410-9062
Fax Number	:

Provider Business Practice Location Address
First Line	:	2039 FLETCHER CREEK DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38133-7059
Country	:	US
Telephone Number	:	901-410-9062
Fax Number	:

Authorized Official
Title or Position	:	CIO
Name	:	CHRISTOPHER STEPHENSON
Credential	:
Telephone Number	:	901-825-8972

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	04/08/2026

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Directions to “COMMITTED TO RECOVERY LLC ” Practice Location

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