# NEW LIFE COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1407263601
- **Authorized official:** DOMINIQUE LASHAN WILSON M.ED., LPCC (CEO)
- **Authorized official phone:** (859) 368-3160

## Contact information

- **Practice address:** 1099 S BROADWAY, STE. 260, 160, AND 280, LEXINGTON, KY 40504-2663
- **Practice address phone:** (859) 309-2384
- **Practice address fax:** (859) 406-1066
- **Mailing address:** 585 SOUTHPOINT DR, LEXINGTON, KY 40515-5121
- **Mailing address phone:** (859) 368-3160
- **Mailing address fax:** (859) 406-1066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | KY-1444 | KY | Yes |

## Other

- **Enumeration date:** 07/20/2014
- **Last updated:** 09/03/2015