Provider Demographics
NPI:1417253592
Name:NEW LIGHT CONSULTANTS, INC
Entity Type:Organization
Organization Name:NEW LIGHT CONSULTANTS, INC
Other - Org Name:NEW LIGHT CHILD & FAMILY INST.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:989-871-9047
Mailing Address - Street 1:PO BOX 359
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48746
Mailing Address - Country:US
Mailing Address - Phone:989-672-0784
Mailing Address - Fax:989-672-0786
Practice Address - Street 1:852 S HOOPER ST
Practice Address - Street 2:SUITE 6
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1757
Practice Address - Country:US
Practice Address - Phone:989-672-0784
Practice Address - Fax:989-672-0786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP11240Medicare PIN