NVW Newco, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

NVW NEWCO, LLC

Practice address

889 Wimpy Mill Rd
Dahlonega, GA 30533-0492

Phone

(706) 960-9132

Fax

(706) 538-4331

NPI assigned

Jun 3, 2020

Last updated

Apr 14, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

NVW NEWCO, LLCAs reported in NPPES

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

Authorized official

Name

Sharnell Spencer

Title

Credentialing Manager

Phone

(661) 239-6923

Specialties & licenses 1

Addresses

Other names 1

• First Light Wilderness Therapy Other name

Tax ID family

NVW Newco LLC3 organizations share this tax ID, including this one

Part of

NVW Newco LLC

Other organizations with this tax ID 2

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

• NVW Newco, LLC

  • Mental Health Counselor
  • Medford, WI
  • NPI 1639557895
  NPD tax ID
• NVW Newco, LLC

  dba New Vision Wilderness

  • Psychiatric Residential Treatment Facility
  • Bend, OR
  • NPI 1699161745
  NPD tax ID

Locations

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1952925190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631",
            "telephone_number": "661-622-4132",
            "fax_number": "706-538-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 WIMPY MILL RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330492",
            "telephone_number": "706-960-9132",
            "fax_number": "706-538-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVW NEWCO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NVW NEWCO, LLC",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SHARNELL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "661-239-6923"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Light Wilderness Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Georgia Therapeutic Counseling
• Northland Hearing Centers, Inc (Dahlonega Hearing Aid Center)
• Northview Orthopaedic
• Northview Orthopaedic Surgery Center, P.C.
• Mohammad Reza Nourbakhsh, DPT
• Cindy L Orr, PHARMD
• Stefanie Dean Dismer Palma, PT, DPT
• Phillip Burl Palmer, P.T.
• Micaela Pamplin, PHARMD
• Brian Andrew Parker, NP

• Psychiatric Residential Treatment Facility in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Psychiatric Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.