Provider Demographics
NPI:1902467913
Name:NEW HOPE TREATMENT CENTER OF TENNESSEE LLC
Entity Type:Organization
Organization Name:NEW HOPE TREATMENT CENTER OF TENNESSEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BAILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-527-1250
Mailing Address - Street 1:3523 PELHAM RD STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4191
Mailing Address - Country:US
Mailing Address - Phone:864-527-1250
Mailing Address - Fax:864-203-2066
Practice Address - Street 1:135 FOX AND HOUND WAY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-8074
Practice Address - Country:US
Practice Address - Phone:423-532-8105
Practice Address - Fax:423-532-8112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone