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General NPI Number Information
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NPI Number | 1497601884
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Entity Type | Organization
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Legal Business Name | NEW WAY ALLIANCE, LLC.
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 543 COX RD STE D4
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City | GASTONIA
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State | NC
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Zip | 28054-0650
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Country | US
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Telephone | 704-750-1314
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Fax |
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Provider Business Mailing Address
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Address Line | 1067 BENT BRANCH ST
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City | GASTONIA
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State | NC
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Zip | 28054-1334
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Country | US
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Telephone | 731-803-6171
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MICHAEL GAUSE
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Credential | LCAS-A, LCSW-A
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Telephone | 731-803-6171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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