The Synergy Foundation, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

L000000006634 Issued in TN

Legal business name

THE SYNERGY FOUNDATION, INC.

Doing business as

Synergy Treatment Centers

Practice address

2305 Airport Interchange Avenue
Memphis, TN 38132

Phone

(901) 332-2227

Fax

(901) 332-0477

NPI assigned

Sep 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kerleska Conerly, LCSWNPI 1164743217

Title

Executive Director

Phone

(901) 332-2227

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Synergy Treatment Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerleska Conerly, LCSW

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1164743217
  Medicare reassignment NPD Authorized official
• Levi Robinson Jr., LADAC II

  • Addiction (Substance Use Disorder) Counselor
  • Memphis, TN
  • NPI 1346569761
  NPD
• Kendra Rutherford

  • Addiction (Substance Use Disorder) Counselor
  • Memphis, TN
  • NPI 1457173569
  NPD
• Jeremy Howard

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1851974265
  NPD (past)
• Emmanuel Igweze Nwokeji, MD

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1306919444
  NPD (past)
• Stacy Triplett

  • Addiction (Substance Use Disorder) Counselor
  • Memphis, TN
  • NPI 1699181461
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1063406676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 16217",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38186",
            "telephone_number": "901-332-2227",
            "fax_number": "901-332-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 AIRPORT INTERCHANGE AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38132",
            "telephone_number": "901-332-2227",
            "fax_number": "901-332-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SYNERGY FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "CONERLY",
        "authorized_official_first_name": "KERLESKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-332-2227",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "L000000006634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506838",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.