A New Way of Life Recovery Center, LLC
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Portsmouth, VA
NPI 1760171318 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1760171318
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- A NEW WAY OF LIFE RECOVERY CENTER, LLC
- Practice address
- 601 High Street
Suite 102
Portsmouth, VA 23704 - Phone
- (757) 645-5595
- Fax
- (575) 802-3710
- NPI assigned
- May 1, 2023
- Reactivated
- Aug 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Shnavian Monique Shands
- Title
- Owner/Ceo/Parnter
- Phone
- (757) 645-5595
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
601 High Street
Suite 102
Portsmouth, VA 23704
Mailing address
601 High Street
Suite 102
Portsmouth, VA 23704
Phone (757) 645-5595
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All providers in Portsmouth, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.