OrganizationActive
New Life Supportive Living, LLC.
NPI 1700033214 · Mental Illness Community Based Residential Treatment Facility · Livingston, TN
Provider details
- NPI number
- 1700033214
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marshal Huddleston, Owner/ Operator(865) 850-2332
- License
- L219-058-4352 (TN)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense L219-058-4352 (TN)
Residential Treatment Facilities
Practice location
201 Clark St
Livingston, TN 38570-1608
Phone: (931) 233-7298
Approximate (ZIP-level) locationGet directions
Mailing address
201 Clark St
Livingston, TN 38570-1608
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2008-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.