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

Mindful Recovery Addiction Specialist, LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1497252357

Mindful Recovery Addiction Specialist, LLC is an Addiction Medicine (Family Medicine) Physician in Oneida, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

20463 Alberta St
Oneida, TN 37841
Phone: (423) 286-3292
Show map & directions

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

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1497252357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Caudill — Enrollment Consultant · (615) 521-9097
NPI enumeratedApril 9, 2018
Last updated in NPPESJuly 3, 2018
Mailing address20463 Alberta St, Oneida, TN 37841-3509