Provider Demographics
NPI:1902363260
Name:NEW LIFE NEW YOU, INC
Entity Type:Organization
Organization Name:NEW LIFE NEW YOU, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:RESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-595-0281
Mailing Address - Street 1:2037 US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2801
Mailing Address - Country:US
Mailing Address - Phone:773-406-0400
Mailing Address - Fax:
Practice Address - Street 1:2037 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2801
Practice Address - Country:US
Practice Address - Phone:219-595-0281
Practice Address - Fax:219-595-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty