FAIRHAVEN TREATMENT CENTER
NPI 1639500309
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cordova, TN

Active since December 06, 2013
890 N HOUSTON LEVEE RD, CORDOVA, TN 38018(901) 757-7979(901) 757-7980 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairhaven Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRHAVEN TREATMENT CENTER (NPI 1639500309) is a healthcare organization registered as a mental health (including community mental health center) in Cordova, Tennessee and active in the NPI registry since December 2013. The organization lists Teri H Mccann, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1639500309
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFAIRHAVEN HOLDINGS, LLC
Location Address890 N HOUSTON LEVEE RDCordova, TN 38018-6614
Mailing Address890 N Houston Levee RdCordova, TN 38018-6614 · (901) 757-7979 · Fax (901) 757-7980
Fax(901) 757-7980
Organization SubpartNo
Authorized OfficialTeri H MccannClinical Director · (901) 832-9192
Enumeration DateDecember 6, 2013
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
NPI 1639500309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 14386 (TN)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License 14386 (TN)
890 N HOUSTON LEVEE RD, Cordova, TN 38018

Other Names 1

Doing Business AsFairhaven Treatment Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Community Based Residential Treatment Facility, Mental Illness
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Counselor (Mental Health)
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Community/Behavioral Health
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairhaven Holdings, LLC's NPI number?

The NPI number for Fairhaven Holdings, LLC is 1639500309. It was assigned to this organization in the NPPES registry on December 6, 2013. The provider is doing business as Fairhaven Treatment Center.

Where is Fairhaven Holdings, LLC located?

Fairhaven Holdings, LLC is located at 890 N Houston Levee Rd, Cordova, TN 38018. The listed phone number is (901) 757-7979.

What is Fairhaven Holdings, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Fairhaven Holdings, LLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.