| New Life Counseling & Assessment Center | |
|
1100 Stone Rd Suite 102 Kilgore TX 75662-5482 | |
| (903) 984-7000 | |
| (903) 984-7001 |
| Full Name | New Life Counseling & Assessment Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1100 Stone Rd, Kilgore, Texas |
| Authorized Official Name and Position | Marilyn Hodge (PROVIDER REPRESENTATIVE) |
| Authorized Official Contact | 9039847000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Counseling & Assessment Center Po Box 3428 Kilgore TX 75663-3428 Ph: (903) 984-7000 | New Life Counseling & Assessment Center 1100 Stone Rd Suite 102 Kilgore TX 75662-5482 Ph: (903) 984-7000 |
| NPI Number | 1518105311 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 06/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518105311 | NPI | - | NPPES |
| 1990301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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