Healthcare Provider Details

I. General information

NPI: 1538056833
Provider Name (Legal Business Name): COMMITTED TO RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3951 COVINGTON PIKE
MEMPHIS TN
38135-2281
US

IV. Provider business mailing address

2039 FLETCHER CREEK DR
MEMPHIS TN
38133-7059
US

V. Phone/Fax

Practice location:
  • Phone: 901-244-3588
  • Fax: 901-531-8029
Mailing address:
  • Phone: 901-244-3588
  • Fax: 901-531-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER GLENN STEPHENSON
Title or Position: CIO
Credential:
Phone: 901-825-8972