Sozo Recovery Centers Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOZO RECOVERY CENTERS INC

Practice address

243 Nathan Ter
Jessieville, AR 71949-9289

Phone

(501) 984-5317

NPI assigned

Jan 4, 2019

Last updated

Dec 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason BynumNPI 1477419620

Title

Administrative Manager

Phone

(479) 242-1003

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Bynum, CIT

  • Case Manager/Care Coordinator
  • Van Buren, AR
  • NPI 1477419620
  NPD Authorized official
• Dorotha Diane Bynum, LPC

  • Mental Health Counselor
  • Fort Smith, AR
  • NPI 1205846706
  NPD (past)
• Billie Welch, LCSW

  • Clinical Social Worker
  • Hot Springs, AR
  • NPI 1588090526
  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1447723143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NATHAN TER",
            "city": "JESSIEVILLE",
            "state": "AR",
            "postal_code": "719499289",
            "telephone_number": "501-984-5317",
            "fax_number": "479-782-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NATHAN TER",
            "city": "JESSIEVILLE",
            "state": "AR",
            "postal_code": "719499289",
            "telephone_number": "501-984-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO RECOVERY CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "479-242-1003"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Sullivan Lamb, PT
• April Ann Mungle, OTRL
• Stephanie Noles, RN
• Melanie Beth Pierce, M.S., CCC-SLP
• Samantha Romero

• Substance Abuse Rehabilitation Facility in Jessieville, AR
• Providers in Jessieville, AR by specialty
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.