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NEW LIFE COUNSELING & FAMILY SOCIAL SERVICE AGENCY

Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

Provider NPI: 1447601778

Organization Information:
Organization Name:  NEW LIFE COUNSELING & FAMILY SOCIAL SERVICE AGENCY
Organization is not Subpart
Authorized Official:  THERESA  ANTHONY  DIRECTOR  262-212-4654

Practice Location:
2603 W ATKINSON AVE  MILWAUKEE, WI 53209-6638 US
Tel: 262-212-4654  Fax: --

Business Mailing Address:
2603 W ATKINSON AVE  MILWAUKEE, WI 53209-6638 US
Tel: 262-212-4654  Fax: --

NPI Information:
NPI: 1447601778
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
WI3068
N101YM0800XBehavioral Health & Social Service Providers
Counselor
WI3068
N101YP2500XBehavioral Health & Social Service Providers
Counselor
WI3068
N103T00000XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TC1900XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TP0016XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TP0814XBehavioral Health & Social Service Providers
Psychologist
WI3068
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
WI3068
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
WI3068
N261QM0850XAmbulatory Health Care Facilities
Clinic/Center
WI3068
Y261QR0405XAmbulatory Health Care Facilities
Clinic/Center
WI3068

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QR0405X

Type:

Classification:



Definition:



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