# NEW LIFE RECOVERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396582698
- **Authorized official:** ENRICA TAMAR SMITH LCSW, LMFT (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (502) 888-6688

## Contact information

- **Practice address:** 1219 COOPER AVE, LOUISVILLE, KY 40219-5002
- **Practice address phone:** (502) 235-5479
- **Mailing address:** 1219 COOPER AVE, LOUISVILLE, KY 40219-5002
- **Mailing address phone:** (502) 235-5479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2024
- **Last updated:** 07/12/2024