Recovery Soldiers Ministries

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECOVERY SOLDIERS MINISTRIES

Practice address

1180 Bristol Hwy
Elizabethton, TN 37643-6684

Phone

(423) 747-3803

NPI assigned

Apr 19, 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, LPC,MHSP

Title

Clinical Director

Phone

(423) 747-3803

Specialties & licenses 1

Addresses

Other names 1

• Recovery Soldiers Ministry Women's Center Other name

Tax ID family

Recovery Soldiers Ministries2 organizations share this tax ID, including this one

Part of

Recovery Soldiers Ministries

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Recovery Soldiers Ministries

  • Addiction (Substance Use Disorder) Counselor
  • Elizabethton, TN
  • NPI 1285336446
  NPD tax ID

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": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1649967795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BRISTOL HWY",
            "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",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376436684",
            "telephone_number": "423-747-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY SOLDIERS MINISTRIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVERY SOLDIERS MINISTRIES",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "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",
        "authorized_official_credential": "LPC,MHSP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Soldiers Ministry Women's Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• Substance Use Disorder Rehabilitation Clinic/Center in Elizabethton, TN
• Providers in Elizabethton, 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 May 1, 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.