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NEW HOPE ADDICTION RECOVERY LLC NPI 1083386809


NPI Information

NPI: 1083386809
Provider Name: NEW HOPE ADDICTION RECOVERY, LLC

Doing Business As: NEW HOPE ADDICTION CLINIC

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 19D2235119

Address:
7330 FERN AVE STE 1003
SHREVEPORT, LA
ZIP 71105
Phone: (318) 550-5490
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NEW HOPE ADDICTION RECOVERY, LLC is an addiction medicine family medicine in Shreveport, LA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. NEW HOPE ADDICTION RECOVERY, LLC NPI is 1083386809. The provider is registered as an organization entity type.
The provider Is Doing Business As New Hope Addiction Clinic.

The provider's business location address is:

7330 FERN AVE STE 1003
SHREVEPORT, LA
ZIP 71105-988
Phone: (318) 550-5490
Fax: (318) 550-5489

The provider's authorized official is Cesar Z Gonzales .
The authorized official title is Owner and has the following contact phone number (318) 884-2777.

The CLIA number assigned to this NPI record is 19D2235119 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2021 and was last updated on 7/19/2023.


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
1261Q00000XClinic/CenterNo
2363A00000XPhysician AssistantNo
3363LF0000XNurse PractitionerFamilyNo
4207QA0401XFamily MedicineAddiction MedicineYes

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: 5/5/2024

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