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Organization

NEWLIFE FOR YOU SUPPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GYLLANE CLARK (CHIEF OPERATING OFFICER)
(334) 425-4837
Entity
Organization

Contact information

Practice address
4171 LOMAC ST STE F9, MONTGOMERY, AL 36106-2945
(334) 600-1302
Mailing address
132 SUNSET RDG, MONTGOMERY, AL 36108-4747
(334) 600-1302

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/03/2025
Last updated
12/26/2025
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