Sober Living of Tennessee, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SOBER LIVING OF TENNESSEE, INC

Practice address

402 S College St
Smithville, TN 37166-1900

Phone

(931) 979-5158

NPI assigned

Jul 12, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Stubblefield

Title

Compliance Officer

Phone

(931) 979-5158

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1063934966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 W HUNT RD",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011724",
            "telephone_number": "931-979-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S COLLEGE ST",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661900",
            "telephone_number": "931-979-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER LIVING OF TENNESSEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "931-979-5158"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "I00000000004367",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa C Smedley, CNA CPT
• Courtney Beth Smith, DPT
• Deborah F Smith, FNP
• Savannah Rose Smith, NP
• Smithville Emergency Services, LLC
• Theresa Ann Spare, PTA
• State of Tennessee (DeKalb County Health Department)
• Virginia Renee Steff, PHARM.D.
• Mary Beth Stephens, PHARM D
• Sumner Regional EMS LLC (Dekalb EMS)

• Addiction (Substance Use Disorder) Counselor in Smithville, TN
• Providers in Smithville, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.