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Organization
NEW LIFE COUNSELING SERVICES, LLC
Active
Organization
NEW LIFE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE LASHAN WILSON M.ED., LPCC (CEO)
(859) 368-3160
Entity
Organization
Contact information
Practice address
1099 S BROADWAY, STE. 260, 160, AND 280, LEXINGTON, KY 40504-2663
(859) 309-2384
(859) 406-1066
Mailing address
585 SOUTHPOINT DR, LEXINGTON, KY 40515-5121
(859) 368-3160
(859) 406-1066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-1444
KY
Other
Enumeration date
07/20/2014
Last updated
09/03/2015
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