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Organization
NEW LIFE OF LOVE LLC
Active
Organization
NEW LIFE OF LOVE LLC
Active
Other names
New Life Of Love LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLI CHILDERS (CEO)
(214) 907-0589
Entity
Organization
Contact information
Practice address
1622 N BLACK CANYON HWY UNIT C1, PHOENIX, AZ 85009-2910
(214) 907-0589
Mailing address
1622 N BLACK CANYON HWY UNIT C1, PHOENIX, AZ 85009-2910
(214) 907-0589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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