Tennessee Addiction LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TENNESSEE ADDICTION LLC

Practice address

4820 Old Kingston Pike Ste 100
Knoxville, TN 37919-6424

Phone

(865) 205-2770

NPI assigned

Nov 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Spencer Stein

Title

Director

Phone

(865) 205-2770

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1053915199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440832",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 OLD KINGSTON PIKE STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196424",
            "telephone_number": "865-205-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ADDICTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-03-16",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-205-2770"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoj M Tendolkar
• Alexis Tenerife, PT
• Melody Tenhagen, R.N.
• Lindsey Leigh Tenholder I, BA
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• Tennessee Ambulatory Surgery Associates, P.C.
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• Tennessee Cancer Specialist PLLC
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• Tennessee Cancer Specialist PLLC

• Substance Use Disorder Rehabilitation Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.