Organization
A NEW LIFE STYLE, LLC
Active
Other names
A New Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHIE GRINE LPCC (DIRECTOR/CEO)
(505) 265-9393
Entity
Organization
Contact information
Practice address
532 ADAMS ST NE, ALBUQUERQUE, NM 87108-1229
(505) 265-9393
(505) 266-6130
Mailing address
532 ADAMS ST NE, ALBUQUERQUE, NM 87108-1229
(505) 265-9393
(505) 266-6130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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