Organization
NEW LIFE OF LOVE LLC
Active
Other names
New Life Of Love LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLI CHILDERS (CEO)
(214) 907-0589
Entity
Organization
Contact information
Practice address
1622 N BLACK CANYON HWY UNIT C1, PHOENIX, AZ 85009-2910
(214) 907-0589
Mailing address
1622 N BLACK CANYON HWY UNIT C1, PHOENIX, AZ 85009-2910
(214) 907-0589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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