New Life Recovery, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW LIFE RECOVERY, LLC

Practice address

425 Marion Pike
Coal Grove, OH 45638-2960

Phone

(174) 037-7199

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Bruce, LCDC 111NPI 1104339134

Title

Executive Director

Phone

(740) 377-1998

Specialties & licenses 2

Addresses

Tax ID family

New Life Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Life Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Coal Grove, OH
  • NPI 1013543982
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Bruce, LCDCIII

  • Addiction (Substance Use Disorder) Counselor
  • Coal Grove, OH
  • NPI 1104339134
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1013793082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MARION PIKE",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382960",
            "telephone_number": "174-037-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MARION PIKE",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382960",
            "telephone_number": "174-037-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-377-1998",
        "authorized_official_credential": "LCDC 111"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ruth Mullens, CMS, QMHS
• Paige Mullins
• Samantha Myers
• Zachary Nance, CDCA
• New Life Recovery, LLC
• Margaret L NG-Cadlaon, M.D
• Darrell Norris, PRS
• Stevie Marie Nutter, CDCA, CPRS
• Outshine Health Services Inc.
• Samantha Pancake

• Community/Behavioral Health Agency in Coal Grove, OH
• Providers in Coal Grove, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.