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Lincoln Nova Vital Recovery
Substance Abuse Rehabilitation Facility in Ruston, Louisiana
NPI 1912473752

Lincoln Nova Vital Recovery is a Substance Abuse Rehabilitation Facility based in West Monroe, LA. Lincoln Nova Vital Recovery practices in Ruston, LA. The NPI Number for Lincoln Nova Vital Recovery is 1912473752 and holds a License No. (Louisiana).

The current practice location address for Lincoln Nova Vital Recovery is 4396 Hwy, 80, Ruston, LA and can be reached out via phone at 318-235-0503 and via fax at 318-251-4659. You can also correspond with Lincoln Nova Vital Recovery through the mailing address at 203 BRIAN DRIVE, WEST MONROE, LA - 71291 (mailing address contact number: 318-235-0503).

Location: 4396 Hwy, 80, Ruston, LA, 71291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912473752
Provider Name
Lincoln Nova Vital Recovery
Credential
Provider Entity Type
Organization
Address
4396 Hwy, 80, Ruston, LA, 71291
Phone Number
318-235-0503
Fax Number
318-251-4659
Provider Enumeration Date
10/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4396 Hwy, 80
City
Ruston
State
Louisiana
Zip
71270
Phone Number
318-235-0503
Fax Number
318-251-4659
person
Provider Business Mailing Address Details
Address
4396 Hwy, 80
City
Ruston
State
Louisiana
Zip
71270
Phone Number
318-235-0503
Fax Number
318-251-4659
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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