Claycon, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

I000000010003 Issued in TN

Legal business name

CLAYCON, LLC

Practice address

8130 Country Village Dr Ste 102
Cordova, TN 38016-2087

Phone

(662) 280-5758

Fax

(662) 280-5708

NPI assigned

Jan 10, 2012

Organization subpart

Yes

Parent organization

CLAYCON, LLCAs reported in NPPES

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

Authorized official

Name

Angie Garrett

Title

VP of Operations

Phone

(662) 280-5758

Specialties & licenses 1

Addresses

Other names 1

• Turning Point Recovery Doing business as

Tax ID family

Claycon LLC3 organizations share this tax ID, including this one

Part of

Claycon LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Claycon, LLC

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1124310008
  NPD tax ID
• Claycon LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Southaven, MS
  • NPI 1316181365
  NPD tax ID

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1295005155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 CENTRE ST",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712610",
            "telephone_number": "662-280-5758",
            "fax_number": "662-280-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 COUNTRY VILLAGE DR STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162087",
            "telephone_number": "662-280-5758",
            "fax_number": "662-280-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYCON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAYCON, LLC",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "662-280-5758"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "I000000010003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turning Point Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa L Clark, PH.D.
• Tanecia Clark
• Julianna Clarke
• Ayana Claxton
• Jordan Deshaun Clay
• Kimberly Anne Clayton, MS-CCC-SLP
• Gina Tess Clemens, PHARM,D
• Casie F Coats, D.N.P.
• Alka Vishnu Cohen, DDS MS
• Sandra W Cohen, M.D.

• Addiction (Substance Use Disorder) Counselor in Cordova, TN
• Providers in Cordova, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.