National Provider Identifier Database

NEW LEGACY REENTRY CORP
Mental Health (Including Community Mental Health Center)


Contact Information

NEW LEGACY REENTRY CORP
1115 GARVIN PL
LOUISVILLE, KY40203-3178
Phone: 502-276-0660
Fax: 502-415-7171
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Addiction (Substance Use Disorder) 101YA0400X
Community/Behavioral Health 251S00000X
Recovery Care 261QR0800X

* Indicates primary specialty

NPI Profile & details for NEW LEGACY REENTRY CORP

NPI Number 1265250393
Legal business name
LBN
NEW LEGACY REENTRY CORP
Authorized official GISELA NELSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/27/2024
Last updated 04/01/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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