Organization
A NEW IDEA CLINICAL CONSULTING SRVS., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHARLES M.S.ED, LLC (CEO)
(804) 263-7009
Entity
Organization
Contact information
Practice address
1751 RIVER BEND DR, ALLEGAN, MI 49010-8227
(269) 512-5178
(269) 645-5930
Mailing address
1751 RIVER BEND DR, ALLEGAN, MI 49010-8227
(269) 512-5178
(269) 645-5930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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