Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

30:17 Recovery

Organization Addiction (Substance Use Disorder) Counselor · NPI 1679331284

30:17 Recovery is an Addiction (Substance Use Disorder) Counselor in Jackson, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

188 Carriage House Dr
Jackson, TN 38305-3969
Phone: (731) 215-0049
Fax: (800) 418-1395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1679331284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa McBroom — Director · (731) 215-0449
NPI enumeratedMarch 8, 2024
Last updated in NPPESMarch 8, 2024
Mailing address188 Carriage House Dr, Jackson, TN 38305-3969

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