4TH Judicial District Recovery Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L000000013997 Issued in TN

Legal business name

4TH JUDICIAL DISTRICT RECOVERY SERVICES, INC

Practice address

3342 Frank Morie Rd
White Pine, TN 37890-4504

Phone

(865) 674-2857

Fax

(865) 674-7273

NPI assigned

May 19, 2014

Last updated

May 19, 2014By 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

Mrs. Patricia Manuela Williams

Title

Director

Phone

(865) 674-2857

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1841601366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377250293",
            "telephone_number": "865-674-2857",
            "fax_number": "865-674-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 FRANK MORIE RD",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378904504",
            "telephone_number": "865-674-2857",
            "fax_number": "865-674-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4TH JUDICIAL DISTRICT RECOVERY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MANUELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-674-2857",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L000000013997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Dawn Atkins, MSN, APRN, FNP-C
• Melanie Sieglinda Beers
• Behavioral Advising & Consulting
• Rebecca Lou Boyd, FNP-C
• Robert John Braidwood, BSPH

• Community/Behavioral Health Agency in White Pine, TN
• Providers in White Pine, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.