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NPI Code Detail

MEDICARE: RESTORATION RECOVERY, PLLC

MEDICARE: RESTORATION RECOVERY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3261QM0850XAdult Mental Health Clinic/Center
42083A0300XAddiction Medicine (Preventive Medicine) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770011652
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESTORATION RECOVERY, PLLC
Provider Business Mailing Address
First Line : 6141 SHALLOWFORD RD STE 100
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1663
Country : US
Telephone Number : 423-498-2000
Fax Number : 423-498-2001
Provider Business Practice Location Address
First Line : 6141 SHALLOWFORD RD STE 100
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1663
Country : US
Telephone Number : 423-498-2000
Fax Number : 423-498-2001
Authorized Official
Title or Position : FACILITY DIRECTOR
Name : MICHELLE PAOLUCCI
Credential :
Telephone Number : 423-498-2005
Provider Enumeration Date : 05/23/2017
Last Update Date : 02/19/2026

Similar Medicare Providers

1811121924 — DR. JOSHUA LIDELLE HARE D.O.
Practice Location Address:
6141 SHALLOWFORD RD STE 100
CHATTANOOGA, TN
37421-1663
Practice Phone: 423-498-2000
Practice Fax: 423-498-2001
1720307978 — MRS. AMITY JILL MALLOY MSN, APN, NP
Practice Location Address:
6141 SHALLOWFORD RD STE 100
CHATTANOOGA, TN
37421-1663
Practice Phone: 423-498-2000
Practice Fax: 423-498-2001
1629234521 — DR. SANJIVINI VISHWAS JACOB M. D.
Practice Location Address:
6141 SHALLOWFORD RD STE 100
CHATTANOOGA, TN
37421-1663
Practice Phone: 423-498-2000
Practice Fax: 423-498-2001
1447362736 — OTIS BRANDON FORRESTER FNP-C
Practice Location Address:
6141 SHALLOWFORD RD STE 100
CHATTANOOGA, TN
37421-1663
Practice Phone: 423-498-2000
Practice Fax: 423-498-2001
1780159699 — NAVEEN MOHYUDDIN PA-C
Practice Location Address:
6141 SHALLOWFORD RD STE 100
CHATTANOOGA, TN
37421-1663
Practice Phone: 423-498-2000
Practice Fax: 423-498-2001
1770589137 — DR. DONALD LYNN HAMBY M.D.
Practice Location Address:
6141 SHALLOWFORD RD STE 100
CHATTANOOGA, TN
37421-1663
Practice Phone: 423-498-2000
Practice Fax: 423-498-2001

Directions to “RESTORATION RECOVERY, PLLC ” Practice Location

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