MIRROR LAKE RECOVERY CENTER
NPI 1770615619
Substance Abuse Rehabilitation Facility in Burns, TN

Active since March 09, 2007CLIA 44D2032797 · Waiver
999 GIRL SCOUT RD, BURNS, TN 37029(615) 446-7034(615) 446-7061 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 28, 2023, Jun 10, 2019, Oct 4, 2018 (3 updates tracked since 2018).

About Mirror Lake Recovery Center NPPES

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

MIRROR LAKE RECOVERY CENTER (NPI 1770615619) is a healthcare organization registered as a substance abuse rehabilitation facility in Burns, Tennessee and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Brian P Farley, Vp & Secretary, as its authorized official.

NPPES Registry Identity

NPI1770615619
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCRC HEALTH TENNESSEE, LLC
Location Address999 GIRL SCOUT RDBurns, TN 37029
Mailing Address6100 Tower Cir Ste 1000Franklin, TN 37067-1509 · (615) 861-6000
Fax(615) 446-7061
Organization SubpartNo
Authorized OfficialBrian P FarleyVp & Secretary · (615) 861-6000
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1770615619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses Licensed in TN · 7378 Licensed in TN · 0000000116
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

999 GIRL SCOUT RD, Burns, TN 37029

Other Names 1

Doing Business AsMirror Lake Recovery Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2032797

Crc Health Tennessee Dba Mirror Lake Recovery Center · Burns, TN
Active · expires Nov 15, 2027
CLIA Number44D2032797
Laboratory TypeSubstance Use Treatment F
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorDr. Christopher Housden
Laboratory Phone(615) 446-7034
Laboratory LocationCrc Health Tennessee Dba Mirror Lake Recovery Center999 Girl Scout Road, Burns, TN 37029
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Counselor (Addiction (Substance Use Disorder))
999 GIRL SCOUT RD
BURNS, TN 37029
Substance Abuse Rehabilitation Facility
999 GIRL SCOUT RD
BURNS, TN 37029
Nurse Practitioner (Psychiatric/Mental Health)
999 GIRL SCOUT RD
BURNS, TN 37029
Nurse Practitioner
999 GIRL SCOUT RD
BURNS, TN 37029
Nurse Practitioner (Psychiatric/Mental Health)
999 GIRL SCOUT RD
BURNS, TN 37029
Counselor (Addiction (Substance Use Disorder))
999 GIRL SCOUT RD
BURNS, TN 37029
Physician Assistant
999 GIRL SCOUT RD
BURNS, TN 37029

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 Crc Health Tennessee, LLC's NPI number?

The NPI number for Crc Health Tennessee, LLC is 1770615619. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Mirror Lake Recovery Center.

Where is Crc Health Tennessee, LLC located?

Crc Health Tennessee, LLC is located at 999 Girl Scout Rd, Burns, TN 37029. The listed phone number is (615) 446-7034.

What is Crc Health Tennessee, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Crc Health Tennessee, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2032797) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crc Health Tennessee, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Crc Health Tennessee, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crc Health Tennessee, LLC was last updated on August 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.