# NEW LIFE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 12-2-1 Roundtables
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417534306
- **Authorized official:** JIM WILSON (CEO)
- **Authorized official phone:** (304) 317-7776

## Contact information

- **Practice address:** 212 JOHN ST STE B, ELKINS, WV 26241-3823
- **Practice address phone:** (304) 317-7776
- **Mailing address:** 58 GRACE WAY, ELKINS, WV 26241-1194
- **Mailing address phone:** (304) 614-8918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/26/2021