Organization Active NPI

Trauma and Addiction Recovery Center

  • Counselor
  • Chattanooga, TN
National Provider Identifier
1083105803
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3244 Issued in TN
Legal business name
TRAUMA AND ADDICTION RECOVERY CENTER
Practice address
6727 Heritage Business CT Ste 718
Chattanooga, TN 37421
Phone
(423) 240-0581
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Becca Davis, LPC-MHSP
Title
Director
Phone
(615) 486-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 3244 TN Primary

Addresses

Primary practice location

6727 Heritage Business CT Ste 718
Chattanooga, TN 37421

Mailing address

6727 Heritage Business CT Ste 718
Chattanooga, TN 37421-2597
Phone (423) 240-0581

National Provider Directory

National Provider Directory

Locations

6727 Heritage Business Ct
Ste 718
Chattanooga, TN 37421
Phone (423) 240-0581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1083105803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 HERITAGE BUSINESS CT STE 718",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212597",
            "telephone_number": "423-240-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 HERITAGE BUSINESS CT STE 718",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-240-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA AND ADDICTION RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BECCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-486-9801",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TN",
            "license": "3244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.