ADDICTION RECOVERY CENTER OF EAST TN
NPI 1851902639
Preventive Medicine - Addiction Medicine in Blountville, TN

Active since August 13, 2020
3763 HIGHWAY 11 W, BLOUNTVILLE, TN 37617(423) 279-3860(423) 279-3861 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Addiction Recovery Center Of East Tn NPPES

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

ADDICTION RECOVERY CENTER OF EAST TN (NPI 1851902639) is a healthcare organization registered as an addiction medicine in Blountville, Tennessee and active in the NPI registry since August 2020. The organization lists Mack Lynn Hicks, Owner, as its authorized official.

NPPES Registry Identity

NPI1851902639
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameADDICTION RECOVERY CENTER OF EAST TN
Location Address3763 HIGHWAY 11 WBlountville, TN 37617-3407
Mailing Address3763 Highway 11 WBlountville, TN 37617-3407 · (423) 279-3860 · Fax (423) 279-3861
Fax(423) 279-3861
Organization SubpartNo
Authorized OfficialMack Lynn HicksOwner · (423) 914-3195
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
NPI 1851902639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
3763 HIGHWAY 11 W, Blountville, TN 37617

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Addiction Recovery Center Of East Tn's NPI number?

The NPI number for Addiction Recovery Center Of East Tn is 1851902639. It was assigned to this organization in the NPPES registry on August 13, 2020.

Where is Addiction Recovery Center Of East Tn located?

Addiction Recovery Center Of East Tn is located at 3763 Highway 11 W, Blountville, TN 37617. The listed phone number is (423) 279-3860.

What is Addiction Recovery Center Of East Tn's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Addiction Recovery Center Of East Tn was last updated on August 13, 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.