Provider Demographics
NPI:1497117980
Name:NEW LEAF SERVICES, LLC
Entity Type:Organization
Organization Name:NEW LEAF SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-579-5323
Mailing Address - Street 1:911 E HWY 377
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-1242
Mailing Address - Country:US
Mailing Address - Phone:855-579-5323
Mailing Address - Fax:855-579-5323
Practice Address - Street 1:911 E HWY 377
Practice Address - Street 2:SUITE 104
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-1242
Practice Address - Country:US
Practice Address - Phone:855-579-5323
Practice Address - Fax:855-579-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty