Support Recovery Consultants LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPPORT RECOVERY CONSULTANTS LLC

Practice address

410 W Chestnut St Ste 524
Louisville, KY 40202-2324

Phone

(502) 345-0442

Fax

(502) 331-6062

NPI assigned

Feb 25, 2025

Organization subpart

No

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

Authorized official

Name

George Clemons

Title

Owner

Phone

(502) 345-0442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1700683141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W CHESTNUT ST STE 524",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022324",
            "telephone_number": "502-345-0442",
            "fax_number": "502-331-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W CHESTNUT ST STE 524",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022324",
            "telephone_number": "502-345-0442",
            "fax_number": "502-331-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT RECOVERY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-345-0442"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.