Organization
NEW LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONDRA ELIZABETH MCKINNEY LMHP, MSW (OWNER)
(402) 519-0054
Entity
Organization
Contact information
Practice address
702 W KOENIG ST, GRAND ISLAND, NE 68801-6556
(402) 519-0054
(308) 384-1987
Mailing address
702 W KOENIG ST, GRAND ISLAND, NE 68801-6556
(402) 519-0054
(308) 384-1987
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417391640
INDIVIDUAL NPI
—
Enumeration date
02/26/2019
Last updated
03/25/2019
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