Bowdoin Recovery Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BOWDOIN RECOVERY SERVICES LLC

Practice address

431 Nissan Dr Ste 202
Smyrna, TN 37167-4365

Phone

(615) 462-7392

Fax

(615) 267-0020

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Luther Bowdoin

Title

Controller

Phone

(615) 462-7392

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• BOWDOIN RECOVERY SERVICES Former legal business name

Locations

Practitioners 2

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

• Michele Alexander Bowdoin, SAP, NCACI

  • Addiction (Substance Use Disorder) Counselor
  • Smyrna, TN
  • NPI 1366707937
  NPD (past)
• Shirley Marks, LADAC, LMFT, MAC

  • Marriage & Family Therapist
  • Smyrna, TN
  • NPI 1215477864

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1073053625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NISSAN DR STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674365",
            "telephone_number": "615-462-7392",
            "fax_number": "615-267-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NISSAN DR STE 202",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674365",
            "telephone_number": "615-462-7392",
            "fax_number": "615-267-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWDOIN RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "BOWDOIN",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "615-462-7392"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "L000000018108",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "L000000018108",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "L000000018108",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "L000000018108",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032396",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOWDOIN RECOVERY SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "BOWDOIN RECOVERY SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexa Bonefas
• Kerols Melad Botros, PHARMD
• Catherine Sipe Bottoms, M.D.
• Tamekia Bougard, FNP
• Everett Morgan Boutwell
• Michele Alexander Bowdoin, SAP, NCACI
• Laryan Devonte Bowen
• Joseph Peyton Bowles, DC
• Jalice Female Bowman
• Kelene Boyd, A-LPC-MHSP,LPSC,NCC

• Substance Use Disorder Rehabilitation Clinic/Center in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.