Provider Demographics
NPI:1821634171
Name:NEW GROWTH COUNSELING, LLC
Entity Type:Organization
Organization Name:NEW GROWTH COUNSELING, LLC
Other - Org Name:NEW GROWTH COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNER
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:505-280-1928
Mailing Address - Street 1:2901 JUAN TABO BLVD NE STE 101A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1886
Mailing Address - Country:US
Mailing Address - Phone:505-280-1928
Mailing Address - Fax:
Practice Address - Street 1:2901 JUAN TABO BLVD NE STE 101A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1886
Practice Address - Country:US
Practice Address - Phone:505-280-1928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty