Provider Demographics
NPI:1942756309
Name:NEW CONCEPT COUNSELING L.L.C
Entity Type:Organization
Organization Name:NEW CONCEPT COUNSELING L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ADESOJI
Authorized Official - Last Name:FALADE
Authorized Official - Suffix:
Authorized Official - Credentials:DMFT LMFT
Authorized Official - Phone:612-599-6396
Mailing Address - Street 1:1240 DONEGAL DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2390
Mailing Address - Country:US
Mailing Address - Phone:612-599-6396
Mailing Address - Fax:165-156-0794
Practice Address - Street 1:6043 HUDSON RD STE 399J
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1028
Practice Address - Country:US
Practice Address - Phone:612-599-6396
Practice Address - Fax:165-156-0794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-26
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2836261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1932490224OtherNPI