# NEW LIFE ADDICTION COUNSELING SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073872842
- **Authorized official:** MRS. BEVERLY ANN ERVIN (DIRECTOR)
- **Authorized official phone:** (410) 255-4475

## Contact information

- **Practice address:** 2528 MOUNTAIN RD, SUITE 204, PASADENA, MD 21122-7203
- **Practice address phone:** (410) 255-4475
- **Practice address fax:** (410) 255-6277
- **Mailing address:** 2528 MOUNTAIN RD, SUITE 204, PASADENA, MD 21122-7203
- **Mailing address phone:** (410) 255-4475
- **Mailing address fax:** (410) 255-6277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 05/14/2012