Red Stick Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RED STICK RECOVERY LLC

Practice address

12025 Justice Ave
Baton Rouge, LA 70816-5327

Phone

(225) 713-4050

Fax

(225) 713-4050

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Kaley Benson, RN

Title

Ceo

Phone

(225) 978-4264

Specialties & licenses 1

Addresses

Tax ID family

Red Stick Recovery LLC2 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.

• Red Stick Recovery LLC

  dba Red Stick Recovery

  • Medical Specialty Clinic/Center
  • Bay St Louis, MS
  • NPI 1336906478
  NPD tax ID

Locations

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.

• Brian K Benson, M.D. PH.D.

  • Addiction Medicine (Family Medicine) Physician
  • Baton Rouge, LA
  • NPI 1558621821
  NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1619758034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 GREENMEADOW DR",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394102",
            "telephone_number": "225-771-8365",
            "fax_number": "225-771-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 JUSTICE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165327",
            "telephone_number": "225-713-4050",
            "fax_number": "225-713-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STICK RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KALEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-978-4264",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Stick Mental Health, LLC
• Red Stick Orthopedics & Prosthetics
• Red Stick Pediatrics
• Red Stick Pharmacy LLC
• Red Stick Physicians Group LLC
• Red Stick Transit LLC
• Red Stick Transportation, LLC
• Ashley Nicole Reda, PA-C
• Chris Redden, PLPC
• Reddi Care Ambulatory Clinic, LLC

• Community/Behavioral Health Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.