TRAUMA AND ADDICTION RECOVERY CENTER (NPI# 1083105803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083105803 |
| Entity Type | Organization |
| Organization Name | TRAUMA AND ADDICTION RECOVERY CENTER |
| Practice Address |
6727 Heritage Business Ct Ste 718 Chattanooga TN 37421 |
| Mailing Address |
6727 Heritage Business Ct Ste 718 Chattanooga TN 37421-2597 |
| Practice Telephone | 4232400581 |
| Mailing Telephone | 4232400581 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | BECCA DAVIS (DIRECTOR) |
| Authorized Official Telephone | 6154869801 |
| Authorized Official Credential | LPC-MHSP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3244 | TN | Behavioral Health & Social Service Providers |
| Street Address |
6727 HERITAGE BUSINESS CT STE 718 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| 1457875064 | Riverview Medical Services | Nurse Practitioner | 6148 Lee Highway, Suite 107, Chattanooga, TN 37421 | 2017-07-26 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337927 | Erin Forgette | Counselor | 2117 Mae Dell Rd, Chattanooga, TN 37421-2426 | 2020-02-07 |
| 1215421946 | Patricia Ruth Lee Camp | Counselor | 6110 Shallowford Rd Ste O, Chattanooga, TN 37421-1994 | 2018-06-16 |
| 1003293549 | Wendy Moreno | Counselor | 1101 W 40th St Unit 2225, Chattanooga, TN 37409-1379 | 2015-05-05 |
| 1134545452 | Rebekah Hughes | Counselor | 8115 Hamilton Mill Dr, Chattanooga, TN 37421-2766 | 2014-03-11 |
| 1215292461 | Peter Wadkin Coleman | Counselor | 951 Eastgate Loop Ste 100, Chattanooga, TN 37411-5604 | 2012-07-12 |
| 1902115223 | Linda Lee Peoples | Counselor | 1614 Williams St, Chattanooga, TN 37408-1144 | 2010-10-04 |
| 1487784781 | Rowe S Royer | Counselor | 9333 Cawood Ln, Chattanooga, TN 37421-5300 | 2007-03-06 |
| 1629133004 | Bertin R Glennon | Counselor | 310 E 8th St, Suite C, Chattanooga, TN 37403-4062 | 2006-12-26 |
| 1710911805 | Thomas Lee Cory | Counselor | 545 Oak St, Chattanooga, TN 37403-1906 | 2006-07-11 |
| 1003420712 | Brandon M Galloway | Counselor | 1510 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2020-09-01 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on TRAUMA AND ADDICTION RECOVERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.