Organization
NEW LIFE RECOVERY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY OGLE COUNSELOR (OWNER)
(865) 236-5129
Entity
Organization
Contact information
Practice address
2305 N GATEWAY AVE UNIT 3, HARRIMAN, TN 37748-8684
(865) 236-5129
Mailing address
1214 AUSTIN HOMES BLVD UNIT 105, KNOXVILLE, TN 37915-1345
(865) 236-5129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217156441
—
TN
Enumeration date
01/27/2025
Last updated
02/07/2025
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