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General NPI Number Information
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NPI Number | 1285336446
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Entity Type | Organization
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Legal Business Name | RECOVERY SOLDIERS MINISTRIES
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1180 BRISTOL HWY
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City | ELIZABETHTON
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State | TN
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Zip | 37643-6684
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Country | US
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Telephone | 423-747-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 BRISTOL HWY
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City | ELIZABETHTON
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State | TN
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Zip | 37643-6684
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Country | US
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Telephone | 423-747-3803
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | LINCOLN SHELTON
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Credential | LPC,MHSP
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Telephone | 423-747-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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