Provider Demographics
NPI:1689991911
Name:NEWSTART COUNSELING SERVICES, LLC.
Entity Type:Organization
Organization Name:NEWSTART COUNSELING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEE-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:952-454-0819
Mailing Address - Street 1:17200 JORDAN CT
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-7691
Mailing Address - Country:US
Mailing Address - Phone:952-454-0819
Mailing Address - Fax:
Practice Address - Street 1:17200 JORDAN CT
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-7691
Practice Address - Country:US
Practice Address - Phone:952-454-0819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health