Provider Demographics
NPI:1821481664
Name:A NEW LIFE THERAPY, LLC
Entity Type:Organization
Organization Name:A NEW LIFE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST / CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHIRINA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-716-8656
Mailing Address - Street 1:4054 LONGBRANCH CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-6837
Mailing Address - Country:US
Mailing Address - Phone:813-716-8656
Mailing Address - Fax:
Practice Address - Street 1:5327 COMMERCIAL WAY
Practice Address - Street 2:SUITE C115
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1448
Practice Address - Country:US
Practice Address - Phone:352-597-5497
Practice Address - Fax:352-597-1662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty