# CRC HEALTH TREATMENT CLINICS, LLC 3255

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972307767
- **Authorized official:** MS. CIERA SMITH (LPN)
- **Authorized official phone:** (248) 513-5827

## Contact information

- **Practice address:** 213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
- **Practice address phone:** (502) 647-0154
- **Mailing address:** 213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2025
- **Last updated:** 04/02/2025