Springs of Life

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1000000022735 Issued in TN

Legal business name

SPRINGS OF LIFE

Practice address

185 Baker Street
Jellico, TN 37762

Phone

(606) 304-5395

NPI assigned

Aug 14, 2018

Last updated

Aug 14, 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

Mr. Cliff Jamison Branam

Title

Director

Phone

(865) 406-4018

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1063992600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 893",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "37762",
            "telephone_number": "606-304-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BAKER STREET",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "37762",
            "telephone_number": "606-304-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "BRANAM",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_middle_name": "JAMISON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-406-4018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1000000022735",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Health of Jellico LLC
• Kenneth J Reed, P.A.C.
• Sarah Roberts, PHARMD
• Crystal G Smiddy
• Matthew Christopher Sowards, PHARMD, MBA
• Walter Stephens, PT
• Sunbelt Radiology, PLLC
• Cathleen Connie Suto, M.D.
• Emily Terry, PHARMD
• Geogy Thomas, M.D.

• Addiction (Substance Use Disorder) Counselor in Jellico, TN
• Providers in Jellico, 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 Aug 14, 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.