CRC Health Treatment Clinics, LLC 3255

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

CRC HEALTH TREATMENT CLINICS, LLC 3255

Practice address

213 Midland Blvd
Shelbyville, KY 40065-7791

Phone

(502) 647-0154

NPI assigned

Apr 2, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Ciera Smith

Title

LPN

Phone

(248) 513-5827

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1972307767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MIDLAND BLVD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MIDLAND BLVD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657791",
            "telephone_number": "502-647-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH TREATMENT CLINICS, LLC 3255",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CIERA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "248-513-5827",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Beth Coyle
• Holly Michelle Cravens, COTA/L
• Laura J Crawford, M.S.
• Nicole Marie Crawford, PHARMD
• CRC Health Treatment Clinics, LLC
• Alice Barton Creque
• Ron E Creque Jr., MD
• Crestview Nursing, LLC
• Susan E Crumbaugh
• CSD Medical Services

• Licensed Practical Nurse in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.