| Newlife Counseling Services, Llc | |
|
8466 W Peoria Ave Ste 6 Peoria AZ 85345-6548 | |
| (602) 507-7595 | |
| (602) 429-8154 |
| Full Name | Newlife Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 8466 W Peoria Ave Ste 6, Peoria, Arizona |
| Authorized Official Name and Position | Rachel D Holland (PRESIDENT/CEO) |
| Authorized Official Contact | 9282075139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newlife Counseling Services, Llc 10637 W Audrey Dr Sun City AZ 85351-4432 Ph: (928) 207-5139 | Newlife Counseling Services, Llc 8466 W Peoria Ave Ste 6 Peoria AZ 85345-6548 Ph: (602) 507-7595 |
| NPI Number | 1801323662 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Medicare PECOS PAC ID | 0941532915 |
|---|---|
| Medicare Enrollment ID | O20191023002815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801323662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-16254 (Arizona) | Primary |
| Provider Name | Jacqueline M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801985809 PECOS PAC ID: 8224059407 Enrollment ID: I20200110000006 |
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