Provider Demographics
NPI:1891099073
Name:NEW OUTLOOK COUNSELING CENTER INC
Entity Type:Organization
Organization Name:NEW OUTLOOK COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANSELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,
Authorized Official - Phone:812-929-7956
Mailing Address - Street 1:5010 N STONE MILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47408-9320
Mailing Address - Country:US
Mailing Address - Phone:812-929-2193
Mailing Address - Fax:888-789-8394
Practice Address - Street 1:5010 N STONE MILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47408-9320
Practice Address - Country:US
Practice Address - Phone:812-929-2193
Practice Address - Fax:888-789-8394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health