Organization
NEW LEGACY REENTRY CORP
Active
Other names
New Legacy
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA DINESE NELSON (EXECUTIVE DIRECTOR)
(502) 276-0660
Entity
Organization
Contact information
Practice address
1115 GARVIN PL, LOUISVILLE, KY 40203-3178
(502) 276-0660
(502) 415-7171
Mailing address
1115 GARVIN PL, LOUISVILLE, KY 40203-3178
(502) 276-0660
(502) 415-7171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
09/27/2024
Last updated
04/01/2026
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