Provider Demographics
NPI:1396865515
Name:NEW LIFE CONNECTIONS INC
Entity Type:Organization
Organization Name:NEW LIFE CONNECTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,CCJAP,CAP
Authorized Official - Phone:407-322-7779
Mailing Address - Street 1:404 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-4422
Mailing Address - Country:US
Mailing Address - Phone:407-322-7779
Mailing Address - Fax:407-322-7795
Practice Address - Street 1:404 W 25TH ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-4422
Practice Address - Country:US
Practice Address - Phone:407-322-7779
Practice Address - Fax:407-322-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0759AD069701101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty