| Sober Living Of Tennessee, Inc | |
|
402 S College St Smithville TN 37166-1900 | |
| (931) 979-5158 | |
| Not Available |
| Full Name | Sober Living Of Tennessee, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 402 S College St, Smithville, Tennessee |
| Authorized Official Name and Position | James Stubblefield (COMPLIANCE OFFICER) |
| Authorized Official Contact | 9319795158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sober Living Of Tennessee, Inc 269 W Hunt Rd Alcoa TN 37701-1724 Ph: (931) 979-5158 | Sober Living Of Tennessee, Inc 402 S College St Smithville TN 37166-1900 Ph: (931) 979-5158 |
| NPI Number | 1063934966 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063934966 | NPI | - | NPPES |
| I00000000004367 | Other | TN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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