# COLLINS FAMILY & ADDICTION MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blissful Addiction Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457983546
- **Authorized official:** KIMBERLY COLLINS MD (OWNER)
- **Authorized official phone:** (615) 438-7739

## Contact information

- **Practice address:** 4777 ANDREW JACKSON PKWY STE 102, HERMITAGE, TN 37076-1356
- **Practice address phone:** (615) 915-2226
- **Practice address fax:** (629) 202-7956
- **Mailing address:** 4777 ANDREW JACKSON PKWY STE 102, HERMITAGE, TN 37076-1356
- **Mailing address phone:** (615) 915-2226
- **Mailing address fax:** (629) 202-7956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 02/07/2020
- **Last updated:** 02/10/2023