Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spirit Lake Recovery, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1114168564

Spirit Lake Recovery, LLC is a Substance Abuse Rehabilitation Facility in Mc Kenzie, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1060 Old McKenzie Rd
Mc Kenzie, TN 38201-8667
Phone: (731) 393-0304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 4072 (TN)

Record details

NPI number1114168564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Sumrok — Owner · (731) 431-3010
NPI enumeratedMarch 16, 2009
Last updated in NPPESMarch 16, 2009
Mailing address1060 Old McKenzie Rd, Mc Kenzie, TN 38201-8667