Provider Demographics
NPI:1508611336
Name:NEW GROWTH COUNSELING LCSW, P.C.
Entity Type:Organization
Organization Name:NEW GROWTH COUNSELING LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:TONON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-397-4240
Mailing Address - Street 1:150 HAZELTINE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-7869
Mailing Address - Country:US
Mailing Address - Phone:716-397-4240
Mailing Address - Fax:
Practice Address - Street 1:400 W 5TH ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-4828
Practice Address - Country:US
Practice Address - Phone:716-203-1020
Practice Address - Fax:716-229-5790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical