Provider Demographics
NPI:1982267035
Name:ASPIRE NEW LIFE, LLC
Entity Type:Organization
Organization Name:ASPIRE NEW LIFE, LLC
Other - Org Name:ASPIRE NEW LIFE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-768-7880
Mailing Address - Street 1:751 THIMBLE SHOALS BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3563
Mailing Address - Country:US
Mailing Address - Phone:757-768-7880
Mailing Address - Fax:
Practice Address - Street 1:751 THIMBLE SHOALS BLVD STE K
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3563
Practice Address - Country:US
Practice Address - Phone:757-586-5350
Practice Address - Fax:757-586-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1437629045OtherFRANCES MCBRIDE