Provider Demographics
NPI:1689385361
Name:NEW LIFE ADDICTION COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:NEW LIFE ADDICTION COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMSHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-255-4475
Mailing Address - Street 1:8114 SANDPIPER CIR STE 213-215
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4934
Mailing Address - Country:US
Mailing Address - Phone:410-255-4475
Mailing Address - Fax:
Practice Address - Street 1:8114 SANDPIPER CIR STE 213-215
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4934
Practice Address - Country:US
Practice Address - Phone:410-255-4475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder