Provider Demographics
NPI:1235402934
Name:RECOVERY LIVING
Entity Type:Organization
Organization Name:RECOVERY LIVING
Other - Org Name:SOBER LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:SISSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:865-978-0160
Mailing Address - Street 1:110 NORTON RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5234
Mailing Address - Country:US
Mailing Address - Phone:865-978-0160
Mailing Address - Fax:
Practice Address - Street 1:278 ROYCE CIR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-4946
Practice Address - Country:US
Practice Address - Phone:865-978-0160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-12
Last Update Date:2012-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty