| A New Way Of Life Recovery Center, Llc | |
|
601 High Street Suite 102 Portsmouth VA 23704 | |
| (757) 645-5595 | |
| (575) 802-3710 |
| Full Name | A New Way Of Life Recovery Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 601 High Street, Portsmouth, Virginia |
| Authorized Official Name and Position | Shnavian Monique Shands (OWNER/CEO/PARNTER) |
| Authorized Official Contact | 7576455595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Way Of Life Recovery Center, Llc 601 High Street Suite 102 Portsmouth VA 23704 Ph: (757) 645-5595 | A New Way Of Life Recovery Center, Llc 601 High Street Suite 102 Portsmouth VA 23704 Ph: (757) 645-5595 |
| NPI Number | 1760171318 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 08/29/2024 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760171318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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