| Blissful Addiction Recovery | |
|
4777 Andrew Jackson Pkwy Ste 102 Hermitage TN 37076-1356 | |
| (615) 915-2226 | |
| (629) 202-7956 |
| Full Name | Blissful Addiction Recovery |
|---|---|
| Speciality | Family Medicine |
| Location | 4777 Andrew Jackson Pkwy Ste 102, Hermitage, Tennessee |
| Authorized Official Name and Position | Kimberly Collins (OWNER) |
| Authorized Official Contact | 6154387739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blissful Addiction Recovery 4777 Andrew Jackson Pkwy Ste 102 Hermitage TN 37076-1356 Ph: (615) 915-2226 | Blissful Addiction Recovery 4777 Andrew Jackson Pkwy Ste 102 Hermitage TN 37076-1356 Ph: (615) 915-2226 |
| NPI Number | 1457983546 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 6800226937 |
|---|---|
| Medicare Enrollment ID | O20200414000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457983546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | Kimberly R Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033343728 PECOS PAC ID: 8224215694 Enrollment ID: I20150318000691 |
| Provider Name | Candy Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780873240 PECOS PAC ID: 4880775139 Enrollment ID: I20230526000188 |
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