# NEW LIFE WELLNESS GROUP

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

## Provider details

- **NPI number:** 1578197752
- **Authorized official:** LONETTA MASON LCPC (CEO/COO)
- **Authorized official phone:** (443) 285-9846

## Contact information

- **Practice address:** 110 W MULBERRY ST STE 100, BALTIMORE, MD 21201-3606
- **Practice address phone:** (443) 203-8555
- **Mailing address:** 23 RED HEARTH CT, HALETHORPE, MD 21227-3833
- **Mailing address phone:** (443) 285-9846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2020
- **Last updated:** 03/15/2021