Provider Demographics
NPI:1346639564
Name:NEW SEASONS, LLC
Entity Type:Organization
Organization Name:NEW SEASONS, LLC
Other - Org Name:NEW SEASONS COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, NCC
Authorized Official - Phone:606-682-2536
Mailing Address - Street 1:106 OAKTREE PLZ
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-8337
Mailing Address - Country:US
Mailing Address - Phone:606-682-2536
Mailing Address - Fax:
Practice Address - Street 1:106 OAKTREE PLZ
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-8337
Practice Address - Country:US
Practice Address - Phone:606-682-2536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1006101YP2500X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty