Organization Active NPI

Addiction Treatment Resources, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greenville, TX
National Provider Identifier
1457417289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2465-A Issued in TX
Legal business name
ADDICTION TREATMENT RESOURCES, LLC
Practice address
4702 Wesley St Ste D
Greenville, TX 75401-5663
Phone
(903) 455-4114
Fax
(903) 455-2814
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Minto, LCSWNPI 1962586180
Title
Ceo
Phone
(903) 455-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2465-A TX Primary

Addresses

Primary practice location

4702 Wesley St Ste D
Greenville, TX 75401-5663

Mailing address

4702 Wesley St Ste D
Greenville, TX 75401-5663
Phone (903) 455-4114

National Provider Directory

National Provider Directory
Tax ID family
Addiction Treatment Resources2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4702 Wesley St
Ste D
Greenville, TX 75401
Phone (903) 455-4114

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457417289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 WESLEY ST STE D",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015663",
            "telephone_number": "903-455-4114",
            "fax_number": "903-455-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 WESLEY ST STE D",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015663",
            "telephone_number": "903-455-4114",
            "fax_number": "903-455-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION TREATMENT RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINTO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-455-4114",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "2465-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.