NEW LEGACY REENTRY CORP NPI 1265250393

NPI Information

  • NPI: 1265250393
  • Provider Name: NEW LEGACY REENTRY CORP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • CLIA Number: 18D2327692
  • Address: 1115 GARVIN PL
    LOUISVILLE, KY
    ZIP 40203
  • Phone: (502) 276-0660

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NPI Details

NEW LEGACY REENTRY CORP is an addiction (substance use disorder) counselor in Louisville, KY. NEW LEGACY REENTRY CORP NPI is 1265250393. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1115 GARVIN PL
LOUISVILLE, KY
ZIP 40203-178
Phone: (502) 276-0660
Fax: (502) 415-7171

The provider's authorized official is Gisela Dinese Nelson .
The authorized official title is Executive Director and has the following contact phone number (502) 276-0660.

The CLIA number assigned to this NPI record is 18D2327692 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2024 and was last updated on 9/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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