Organization
PSYCHIATRIC SERVICES OF EAST TENNESSEE
Active
Parent organization
RESTORATION COUNSELING
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORATION COUNSELING
Authorized official
JAMES ROBERT STUBBLEFIELD (COO)
(865) 722-2761
Entity
Organization
Contact information
Practice address
123 E WASHINGTON AVE, ATHENS, TN 37303
(423) 507-8826
(423) 507-8791
Mailing address
PO BOX 367, ATHENS, TN 37371
(423) 507-8826
(423) 507-8791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241084823
—
TN
01
—
4084775
BCBS
TN
Enumeration date
12/22/2006
Last updated
01/02/2024
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