Recovery Soldiers Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RECOVERY SOLDIERS SERVICES

Practice address

1180 Bristol Hwy Ste B
Elizabethton, TN 37643-6684

Phone

(423) 747-3803

NPI assigned

Jun 8, 2023

Organization subpart

Yes

Parent organization

RECOVERY SOLDIERS MINISTRIESAs reported in NPPES

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

Authorized official

Name

Lincoln Shelton

Title

Clinical Director

Phone

(423) 747-3803

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Recovery Soldiers Ministries

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Recovery Soldiers Ministries

  • Addiction (Substance Use Disorder) Counselor
  • Elizabethton, TN
  • NPI 1285336446
  NPPES parent name

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1528752805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BRISTOL HWY STE B",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376436684",
            "telephone_number": "423-747-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BRISTOL HWY STE B",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376436684",
            "telephone_number": "423-747-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY SOLDIERS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVERY SOLDIERS MINISTRIES",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "423-747-3803"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "Hipa compliant documentation system.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Theranest",
            "address_1": "1180 Bristol Hwy Ste B",
            "city": "Elizabethton",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376436684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caylin Jessica Quillin
• Tammy Leigh Radford, RN
• Renee Denise Ray, OTR
• Recovery Soldiers Ministries
• Recovery Soldiers Ministries
• Michael J Redus, O.D.
• Reed Pharmacy, Inc.
• Bobby Dean Reynolds II, FNP
• Derek Charles Rhoton, P.A.-C
• Richard Woodward

• Professional Counselor in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.