Provider Demographics
NPI:1578033411
Name:NEW RISE RECOVERY LLC.
Entity Type:Organization
Organization Name:NEW RISE RECOVERY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LAMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:214-791-1246
Mailing Address - Street 1:1826 CREEKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3920
Mailing Address - Country:US
Mailing Address - Phone:214-791-1246
Mailing Address - Fax:
Practice Address - Street 1:1826 CREEKSIDE CT
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3920
Practice Address - Country:US
Practice Address - Phone:214-791-1246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health