Healthcare Provider Details

I. General information

NPI: 1740084532
Provider Name (Legal Business Name): NEW FOUNDATIONS RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 PARK ST OFC
NORWALK CT
06851-4864
US

IV. Provider business mailing address

3 PARK ST OFC
NORWALK CT
06851-4864
US

V. Phone/Fax

Practice location:
  • Phone: 347-460-6855
  • Fax:
Mailing address:
  • Phone: 347-460-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: CAMMANN PIASECKI
Title or Position: OWNER
Credential: ESQ, RCP, CRPA
Phone: 347-460-6855