Provider Demographics
NPI:1760854244
Name:NEW DIRECTIONS FOR LIFE, INC.
Entity Type:Organization
Organization Name:NEW DIRECTIONS FOR LIFE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:DINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CACII
Authorized Official - Phone:303-933-2241
Mailing Address - Street 1:PO BOX 270849
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-0015
Mailing Address - Country:US
Mailing Address - Phone:303-933-2241
Mailing Address - Fax:303-379-5560
Practice Address - Street 1:6635 S DAYTON ST
Practice Address - Street 2:#30
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-6101
Practice Address - Country:US
Practice Address - Phone:303-933-2241
Practice Address - Fax:303-379-5560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20091072432251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health