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FAIRHAVEN TREATMENT CENTER
NPI 1700279080
Community/Behavioral Health in Cordova, TN

Active since March 11, 2015
890 N HOUSTON LEVEE RD, CORDOVA, TN 38018(901) 757-7979 Get Directions Write a Review

NPPES record last updated: March 11, 2015. 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 1700279080) is a healthcare organization registered as a community/behavioral health in Cordova, Tennessee and active in the NPI registry since March 2015. The organization lists Jessica Ann Gray, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1700279080
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFAIRHAVEN TREATMENT CENTER
Location Address890 N HOUSTON LEVEE RDCordova, TN 38018-6614
Mailing Address890 N Houston Levee RdCordova, TN 38018-6614 · (901) 757-7979
Phone(901) 757-7979
Organization SubpartNo
Authorized OfficialJessica Ann GrayBusiness Manager · (901) 757-7979
Enumeration DateMarch 11, 2015
✔ NPI 1700279080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in TN · 14387
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 14387 (TN)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 14387 (TN)
890 N HOUSTON LEVEE RD, Cordova, TN 38018
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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.

DR. TERI H. MCCANN PH.D.
Psychologist
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (901) 757-7979
HAVEN OF HOPE EATING DISORDER CARE CENTER LLC
Community Based Residential Treatment Facility, Mental Illness
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (732) 887-7136
FAIRHAVEN HOLDINGS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (901) 757-7979
EMMA LANGSTON RIEBL MS
Counselor (Mental Health)
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (844) 757-7979

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 Treatment Center's NPI number?

The NPI number for Fairhaven Treatment Center is 1700279080. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Fairhaven Treatment Center located?

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

What is Fairhaven Treatment Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Fairhaven Treatment Center was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.