Organization
NEW LIFE K.N.E.W. SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLYN MARIA GARRETT-WILSON LCPC (CLINICAL DIRECTOR)
(773) 320-9592
Entity
Organization
Contact information
Practice address
4950 W. THOMAS STREET, CHICAGO, IL 60651-3118
(773) 309-2050
(833) 882-7572
Mailing address
2512 S OAKLEY AVE, CHICAGO, IL 60608-4913
(773) 320-9592
(883) 882-7572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
06/23/2023
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