Provider Demographics
NPI:1508824830
Name:NEW LEAF RESOURCES
Entity Type:Organization
Organization Name:NEW LEAF RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERWYN
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:TOP
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:708-895-7310
Mailing Address - Street 1:2325 177TH ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-1722
Mailing Address - Country:US
Mailing Address - Phone:708-895-7310
Mailing Address - Fax:708-895-7602
Practice Address - Street 1:2325 177TH ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-1722
Practice Address - Country:US
Practice Address - Phone:708-895-7310
Practice Address - Fax:708-895-7602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty