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Organization
NEW LIFE FAMILY SERVICES, INC.
Active
Organization
NEW LIFE FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERENCE DENARD MITCHELL B.S., QP (CEO)
(434) 774-6591
Entity
Organization
Contact information
Practice address
1014 GRAYS LAND CT, SUITE 617, KERNERSVILLE, NC 27284-0054
(434) 774-6591
(336) 691-5055
Mailing address
1014 GRAYS LAND CT, SUITE 617, KERNERSVILLE, NC 27284-0054
(434) 774-6591
(336) 691-5055
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-643
NC
Other
Enumeration date
03/26/2007
Last updated
01/03/2020
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