Organization
NEW LIFE COUNSELING AND MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES IDRIS WEBB LCSW (CO-OWNER)
(973) 748-0847
Entity
Organization
Contact information
Practice address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(973) 748-0847
(973) 259-3706
Mailing address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(973) 748-0847
(973) 259-3706
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457019
—
NJ
05
—
0457671
—
NJ
Enumeration date
01/24/2018
Last updated
01/25/2018
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