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Organization
NEW LIFE INSTITUTE
Active
Organization
NEW LIFE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND C HAWKINS PHD (DIRECTOR)
(512) 469-9447
Entity
Organization
Contact information
Practice address
607 RATHERVUE PL, AUSTIN, TX 78705-3127
(512) 496-9447
(512) 451-9694
Mailing address
PO BOX 4487, AUSTIN, TX 78765-4487
(512) 469-9447
(512) 451-9694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
21620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022MD
BC/BS GROUP #
TX
Enumeration date
10/02/2006
Last updated
08/10/2011
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