Organization
A NEW START II, LLC
Active
Other names
A New Start II, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KELLY VINCENT MD (ADMINISTRATOR)
(270) 754-3494
Entity
Organization
Contact information
Practice address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330
(866) 934-4611
(270) 754-3499
Mailing address
222 PHILLIP STONE WAY, CENTRAL CITY, KY 42330-1929
(866) 934-4611
(270) 754-3499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
800186
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
800186
KY
207Q00000X
Family Medicine Physician
800186
KY
207R00000X
Internal Medicine Physician
800186
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2015
Last updated
07/30/2020
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