| New Life Counseling And Mental Health Services, Llc | |
|
12 Prospect St Bloomfield NJ 07003-3211 | |
| (973) 748-0847 | |
| (973) 259-3706 |
| Full Name | New Life Counseling And Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12 Prospect St, Bloomfield, New Jersey |
| Authorized Official Name and Position | Charles Idris Webb (CO-OWNER) |
| Authorized Official Contact | 9737480847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Counseling And Mental Health Services, Llc 12 Prospect St Bloomfield NJ 07003-3211 Ph: (973) 748-0847 | New Life Counseling And Mental Health Services, Llc 12 Prospect St Bloomfield NJ 07003-3211 Ph: (973) 748-0847 |
| NPI Number | 1194223271 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194223271 | NPI | - | NPPES |
| 0457019 | Medicaid | NJ | |
| 0457671 | Medicaid | NJ |
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