Provider Demographics
NPI:1689397622
Name:A NEW LEAF COUNSELING, LLC
Entity Type:Organization
Organization Name:A NEW LEAF COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MAEGAN
Authorized Official - Middle Name:ALEXA
Authorized Official - Last Name:GARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, BC-DMT
Authorized Official - Phone:508-474-5475
Mailing Address - Street 1:360 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1826
Mailing Address - Country:US
Mailing Address - Phone:508-474-5475
Mailing Address - Fax:508-546-0080
Practice Address - Street 1:360 WOODLAND ST
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1826
Practice Address - Country:US
Practice Address - Phone:508-474-5475
Practice Address - Fax:508-546-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty