Organization
NEW LIFE COUNSELING & FAMILY SOCIAL SERVICE AGENCY
Active
Organization
NEW LIFE COUNSELING & FAMILY SOCIAL SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THERESA ANTHONY MA, CSAC, ICS (DIRECTOR)
(262) 212-4654
Entity
Organization
Contact information
Practice address
2603 W ATKINSON AVE, MILWAUKEE, WI 53209-6638
(262) 212-4654
Mailing address
2603 W ATKINSON AVE, MILWAUKEE, WI 53209-6638
(262) 212-4654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3068
WI
101YM0800X
Mental Health Counselor
3068
WI
101YP2500X
Professional Counselor
3068
WI
103T00000X
Psychologist
3068
WI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3068
WI
103TB0200X
Cognitive & Behavioral Psychologist
3068
WI
103TC0700X
Clinical Psychologist
3068
WI
103TC1900X
Counseling Psychologist
3068
WI
103TF0000X
Family Psychologist
3068
WI
103TP0016X
Prescribing (Medical) Psychologist
3068
WI
103TP0814X
Psychoanalysis Psychologist
3068
WI
103TP2701X
Group Psychotherapy Psychologist
3068
WI
1041C0700X
Clinical Social Worker
3068
WI
261QM0850X
Adult Mental Health Clinic/Center
3068
WI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3068
WI
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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