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CLARKSVILLE ADDICTION RECOVERY
NPI 1164030656
Clinic/Center - Rehabilitation, Substance Use Disorder in Clarksville, TN

Active since July 21, 2020CLIA 44D2210065 · Waiver
1823 MEMORIAL DR, CLARKSVILLE, TN 37043(931) 919-2742(931) 919-2743 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksville Addiction Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSVILLE ADDICTION RECOVERY (NPI 1164030656) is a healthcare organization registered as a rehabilitation, substance use disorder in Clarksville, Tennessee and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Hunter Wood, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1164030656
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCLARKSVILLE ADDICTION RECOVERY
Location Address1823 MEMORIAL DRClarksville, TN 37043-4604
Mailing Address1823 Memorial DrClarksville, TN 37043-4604 · (931) 919-2742 · Fax (931) 919-2743
Phone(931) 919-2742
Fax(931) 919-2743
Organization SubpartNo
Authorized OfficialHunter WoodClinic Director · (615) 512-8998
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1164030656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1823 MEMORIAL DR, Clarksville, TN 37043
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2210065

Clarksville Addiction Recovery LLC · Clarksville, TN
Active · expires Jan 18, 2027
CLIA Number44D2210065
Laboratory TypeOffice Opiod Treatment
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorHunter Wood
Laboratory Phone(931) 919-2742
Laboratory LocationClarksville Addiction Recovery LLC1823 Memorial Drive, Clarksville, TN 37043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULO R.T. YEN
Clinic/Center (Podiatric)
1823 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 648-9852
MEGHAN LEIGH HEWITT
Counselor (Mental Health)
1823 MEMORIAL DR
CLARKSVILLE, TN 37043
Montgomery County (931) 919-2742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarksville Addiction Recovery's NPI number?

The NPI number for Clarksville Addiction Recovery is 1164030656. It was assigned to this organization in the NPPES registry on July 21, 2020.

Where is Clarksville Addiction Recovery located?

Clarksville Addiction Recovery is located at 1823 Memorial Dr, Clarksville, TN 37043. The listed phone number is (931) 919-2742.

What is Clarksville Addiction Recovery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Clarksville Addiction Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2210065) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clarksville Addiction Recovery was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.