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Organization
NEW LIFE GOALS, LLC
Active
Organization
NEW LIFE GOALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADIA L. GAYNOR LPC (CEO)
(601) 300-3067
Entity
Organization
Contact information
Practice address
504 COOPER RD, JACKSON, MS 39212-4704
(601) 300-3067
(601) 292-7066
Mailing address
PO BOX 8113, JACKSON, MS 39284-8113
(601) 300-3067
(601) 292-7066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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