Organization · NPI-2

A New Start II, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder · Central City, KY

NPI number1467823328
StatusActive
Last updated in NPPESJul 30, 2020

Details

NPI
1467823328
Entity type
Organization (NPI-2)
Legal business name
A New Start II, LLC
Organization subpart
No
Enumeration date
Oct 16, 2015
Certification date
Jul 30, 2020
Last updated
Jul 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
101Y00000X Counselor800186KY
101YA0400X Counselor, Addiction (Substance Use Disorder)800186KY
207Q00000X Family Medicine800186KY
207R00000X Internal Medicine800186KY

Other names

  • A New Start II, LLC (Other Name)

Practice location

222 Phillip Stone Way
Central City, KY 42330

Phone 866-934-4611 · Fax 270-754-3499

Mailing address

222 Phillip Stone Way
Central City, KY 42330-1929

Phone 866-934-4611 · Fax 270-754-3499

Other practice locations

1601 W Everly Brothers Blvd Ste 1
Central City, KY 42330-2707

Phone 866-934-4611 · Fax 270-754-3499

230 Madison Square Dr Ste C
Madisonville, KY 42431-2792

Phone 866-934-4611 · Fax 270-821-8973

750 Salem Dr Ste C
Owensboro, KY 42303-7758

Phone 866-934-4611 · Fax 270-691-0852

114 Franklin St
Henderson, KY 42420-3342

Phone 866-934-4611 · Fax 270-754-3499

Authorized official

William Kelly Vincent
Administrator
2707543494

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