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Organization
NEW LIFE COUNSELING AND MENTAL HEALTH SERVICES, LLC
Active
Organization
NEW LIFE COUNSELING AND MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES IDRIS WEBB LCSW (CO-OWNER)
(973) 748-0847
Entity
Organization
Contact information
Practice address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(973) 748-0847
(973) 259-3706
Mailing address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(973) 748-0847
(973) 259-3706
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457019
—
NJ
05
—
0457671
—
NJ
Enumeration date
01/24/2018
Last updated
01/25/2018
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