# NEW LIFE HAVEN MININSTRIES INC.

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

## Provider details

- **NPI number:** 1598068033
- **Authorized official:** MS. GLADYS G STEPHENS (PRES.)
- **Authorized official phone:** (321) 225-0608

## Contact information

- **Practice address:** 4919 W COLONIAL DR, ORLANDO, FL 32808-7703
- **Practice address phone:** (407) 610-5509
- **Mailing address:** 5027 LIDO ST, ORLANDO, FL 32807-1323
- **Mailing address phone:** (321) 225-0608

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 12/06/2010