Provider Demographics
NPI:1356479554
Name:NEW LIFE COUNSELING, PC
Entity Type:Organization
Organization Name:NEW LIFE COUNSELING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DPH, MS, LMHC
Authorized Official - Phone:515-964-5003
Mailing Address - Street 1:423 S ANKENY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-3141
Mailing Address - Country:US
Mailing Address - Phone:515-964-5003
Mailing Address - Fax:515-225-4006
Practice Address - Street 1:423 S ANKENY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-3141
Practice Address - Country:US
Practice Address - Phone:515-964-5003
Practice Address - Fax:515-225-4006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0178101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty