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NPI Code Detail

MEDICARE: NEW LIFE CLINICAL SERVICES OF VIRGINIA CORP

MEDICARE: NEW LIFE CLINICAL SERVICES OF VIRGINIA CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2251S00000XCommunity/Behavioral Health Agency
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1194342691
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW LIFE CLINICAL SERVICES OF VIRGINIA CORP
Provider Business Mailing Address
First Line : PO BOX 74434
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-0008
Country : US
Telephone Number : 804-276-6767
Fax Number :
Provider Business Practice Location Address
First Line : 2501 TURNER RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23224-2537
Country : US
Telephone Number : 804-276-6059
Fax Number : 804-655-6865
Authorized Official
Title or Position : ASSISTANT CLINICAL DIRECTOR
Name : MS. KARISSA D. KNIGHT
Credential :
Telephone Number : 804-298-8985
Provider Enumeration Date : 06/30/2020
Last Update Date : 03/18/2026

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Directions to “NEW LIFE CLINICAL SERVICES OF VIRGINIA CORP ” Practice Location

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