MINDFUL RECOVERY ADDICTION SPECIALIST, LLC – NPI #1497252357
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

MINDFUL RECOVERY ADDICTION SPECIALIST, LLC is a provider located in ONEIDA, TN. NPPES has assigned the NPI number 1497252357 to MINDFUL RECOVERY ADDICTION SPECIALIST, LLC on April 09, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 8 years ago on Jul 03, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINDFUL RECOVERY ADDICTION SPECIALIST, LLC below.

NPI Profile for
MINDFUL RECOVERY ADDICTION SPECIALIST, LLC

NPI Number
1497252357
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINDFUL RECOVERY ADDICTION SPECIALIST, LLC
Primary location
20463 ALBERTA ST
ONEIDA, TN 37841
Phone: (423) 286-3292 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL CAUDILL
ENROLLMENT CONSULTANT
Phone: (615) 521-9097
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.