Provider Demographics
NPI:1134751233
Name:A NEW NORMAL BEHAVIORAL WELLNESS SOLUTIONS LLC
Entity type:Organization
Organization Name:A NEW NORMAL BEHAVIORAL WELLNESS SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:229-349-3728
Mailing Address - Street 1:1142 DAWSON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-6800
Mailing Address - Country:US
Mailing Address - Phone:229-349-3728
Mailing Address - Fax:
Practice Address - Street 1:1142 DAWSON RD STE 103
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-6800
Practice Address - Country:US
Practice Address - Phone:229-349-3728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty