Organization
NEW LIGHT CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD O WATKINS JR. MSW LMSW (EXECUTIVE DIRECTOR)
(989) 871-6695
Entity
Organization
Contact information
Practice address
8511 STATE RD, MILLINGTON, MI 48746-9446
(989) 871-6695
(989) 871-3663
Mailing address
PO BOX 359, 8511 STATE ST., MILLINGTON, MI 48746-0359
(989) 871-6695
(989) 871-3663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
790026
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
790026
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
790026
MI
Other
Enumeration date
08/23/2007
Last updated
04/11/2011
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