Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lincoln Nova Vital Recovery Center, LLC

Organization Community/Behavioral Health Agency · NPI 1043780851

Lincoln Nova Vital Recovery Center, LLC is a Community/Behavioral Health Agency in Ruston, Louisiana. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4396 Highway 80
Ruston, LA 71270-8948
Phone: (318) 251-4659
Fax: (318) 251-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X

Record details

NPI number1043780851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denny Gamble — Owner · (318) 251-4659
NPI enumeratedDecember 5, 2018
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address8520 Business Park Dr, Shreveport, LA 71105-5654

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