New Life Center Commission on Alcohol & Other Drug Abuse

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

NEW LIFE CENTER COMMISSION ON ALCOHOL & OTHER DRUG ABUSE

Practice address

102 Ginn Altman Ave
Suite C
Hampton, SC 29924-3932

Phone

(803) 943-2800

Fax

(803) 943-2267

NPI assigned

Jun 9, 2006

Organization subpart

No

Name

James Holley, NCAC II, AADC, SAP

Title

Deputy Director

Phone

(803) 943-2800

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Ginn, PSS SAS

  • Addiction (Substance Use Disorder) Counselor
  • Hampton, SC
  • NPI 1912680349

  Addiction (Substance Use Disorder)

  NPD
• Yvonne S Herndon, LISW-CP

  • Clinical Social Worker
  • Summerville, SC
  • NPI 1770241366

  Addiction (Substance Use Disorder)

  NPD
• Corie J Holly, CPPSS

  • Addiction (Substance Use Disorder) Counselor
  • Hampton, SC
  • NPI 1710556931

  Addiction (Substance Use Disorder)

  NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

• DAODAS New Life Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2023.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1679514079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GINN ALTMAN AVE",
            "address_2": "SUITE C",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299243932",
            "telephone_number": "803-943-2800",
            "fax_number": "803-943-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GINN ALTMAN AVE",
            "address_2": "SUITE C",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299243932",
            "telephone_number": "803-943-2800",
            "fax_number": "803-943-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE CENTER COMMISSION ON ALCOHOL & OTHER DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "803-943-2800",
        "authorized_official_credential": "NCAC II, AADC, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD17LC",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAODAS New Life Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DAODAS New Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latasha Levant
• Lowcountry Rehab
• Robert T McNamara Jr.
• Mobile Therapy
• Carlos E Montenegro, MD
• Julien Van Nguyen, PHARMD
• Nicole G Bennett, LLC
• Ohio Valley Physicians Inc
• Hailey Malphrus Owens, PA
• Palmetto Pharmacy Enterprises LLC

• All providers in Hampton, SC
• Substance Use Disorder Rehabilitation Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.