Provider Demographics
NPI:1417604265
Name:NEW ERA MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:NEW ERA MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMIT
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:SR
Authorized Official - Credentials:ALC
Authorized Official - Phone:205-530-1128
Mailing Address - Street 1:5005 42ND PL N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35217-3132
Mailing Address - Country:US
Mailing Address - Phone:251-533-6643
Mailing Address - Fax:205-530-1773
Practice Address - Street 1:5005 42ND PL N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35217-3132
Practice Address - Country:US
Practice Address - Phone:251-533-6643
Practice Address - Fax:205-530-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty