Healthcare Provider Details

I. General information

NPI: 1881518793
Provider Name (Legal Business Name): SOUTHERN HOPE RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2965 COUNTY ROAD 144
SOUTH POINT OH
45680-8986
US

IV. Provider business mailing address

11470 COUNTY ROAD 1
CHESAPEAKE OH
45619-7010
US

V. Phone/Fax

Practice location:
  • Phone: 740-451-0074
  • Fax:
Mailing address:
  • Phone: 740-451-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA L ROSS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 740-550-4991