Organization
NEW AGE SERVICES CORPORATION
Active
Other names
NEW AGE SERVICES CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYIA PATIRCE WINSTON LSW (CHIEF EXECUTIVE OFFICER)
(773) 542-1150
Entity
Organization
Contact information
Practice address
1330 S KOSTNER AVE APT 1, CHICAGO, IL 60623-1152
(773) 542-1150
(773) 542-1175
Mailing address
1330 S KOSTNER AVE, CHICAGO, IL 60623-1152
(773) 542-1150
(773) 542-1175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251S00000X
Community/Behavioral Health Agency
A-0579-0001-A
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
16008
IL
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0579-001A
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
A-0579-0001-A
IL
Other
Enumeration date
02/15/2008
Last updated
09/17/2025
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