| Newlife Counseling And Consultation, Pllc | |
|
17105 Kenton Dr Suite 205c Cornelius NC 28031-5653 | |
| (704) 727-6297 | |
| Not Available |
| Full Name | Newlife Counseling And Consultation, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 17105 Kenton Dr, Cornelius, North Carolina |
| Authorized Official Name and Position | Andrea L Hayward (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7047276297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newlife Counseling And Consultation, Pllc 17105 Kenton Dr Suite 205c Cornelius NC 28031-5653 Ph: (704) 727-6297 | Newlife Counseling And Consultation, Pllc 17105 Kenton Dr Suite 205c Cornelius NC 28031-5653 Ph: (704) 727-6297 |
| NPI Number | 1205203692 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Medicare PECOS PAC ID | 7517241011 |
|---|---|
| Medicare Enrollment ID | O20170301000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205203692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C009419 (North Carolina) | Primary |
| Provider Name | Cheryl Delila Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376587964 PECOS PAC ID: 6204809254 Enrollment ID: I20040817001156 |
| Provider Name | Andrea L Hayward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417298449 PECOS PAC ID: 3870877376 Enrollment ID: I20170301000833 |
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