OrganizationActive
Red Stick Recovery LLC
NPI 1336906478 · Medical Specialty Clinic/Center · Bay St Louis, MS
Provider details
- NPI number
- 1336906478
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Red Stick Recovery LLC
- Organization subpart
- Yes
- Authorized official
- Kaley Benson, Chief Executive Officer(228) 215-0255
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
856 Highway 90 Ste D
Bay St Louis, MS 39520-2737
Phone: (228) 215-0255
Fax: (228) 215-0255
Approximate (ZIP-level) locationGet directions
Mailing address
6720 Greenmeadow Dr
Greenwell Springs, LA 70739-4102
Other names (DBA / former)
- Doing business as
- Red Stick Recovery
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.