Seymour Treatment Center, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

SEYMOUR TREATMENT CENTER, LLC

Practice address

357 Tanger Blvd
Ste:215
Seymour, IN 47274-1800

Phone

(812) 558-9016

Fax

(812) 522-0291

NPI assigned

Sep 14, 2021

Organization subpart

Yes

Parent organization

ACADIA HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Brian Phillip Farley

Title

VP & Secretary

Phone

(615) 716-9335

Specialties & licenses 2

Addresses

Other names 1

• Seymour Comprehensive Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Opioid treatment program

Medicare-enrolled since Aug 20, 2023

Enrollment records 1

Part of

Haven Behavioral Healthcare

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Acadia Healthcare

  • Community/Behavioral Health Agency
  • Charlestown, IN
  • NPI 1548708142
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Barnett

  • Licensed Practical Nurse
  • Seymour, IN
  • NPI 1376259507
  NPD
• Jason Wayne Davis, MIP

  • Addiction (Substance Use Disorder) Counselor
  • Seymour, IN
  • NPI 1821852484
  NPD
• Andrea Foddrill

  • Addiction (Substance Use Disorder) Counselor
  • Seymour, IN
  • NPI 1124726468
  NPD
• Kimberly Glaze, B.S., CHW, CRS

  • Addiction (Substance Use Disorder) Counselor
  • Seymour, IN
  • NPI 1538852322
  NPD
• Amber Detri Marshall, LPN

  • Licensed Practical Nurse
  • Seymour, IN
  • NPI 1215633474
  NPD
• Steven Mitchell, LPN

  • Licensed Practical Nurse
  • Seymour, IN
  • NPI 1013613025
  NPD
• Jimmy Strong

  • Licensed Practical Nurse
  • Seymour, IN
  • NPI 1154875565
  NPD
• Jesus Diaz-Muniz, MD

  • General Practice Physician
  • Greendale, IN
  • NPI 1144410135
  NPD (past)
• Jaclyn Gatesy

  • Mental Health Counselor
  • Seymour, IN
  • NPI 1518896042
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1780354522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682669",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682669",
            "telephone_number": "760-710-0819",
            "fax_number": "877-552-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TANGER BLVD",
            "address_2": "STE:215",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472741800",
            "telephone_number": "812-558-9016",
            "fax_number": "812-522-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-716-9335"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seymour Comprehensive Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seymour Orthodontics, LLC
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• Seymour Pediatrics, LLC
• Seymour Pulmonary and Sleep Medicine Consultants LLC
• Seymour Treatment Center LLC
• Kristen Shaw, LCSW
• Rebecca Shaw, RN
• Shepherd Hill, Inc.
• Martha Jane Shirley, D.O,
• Kalynn Short

• Methadone Clinic in Seymour, IN
• Providers in Seymour, IN by specialty
• Methadone Clinic in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.