Provider Demographics
NPI:1508675976
Name:NEW GROWTH COUNSELING
Entity type:Organization
Organization Name:NEW GROWTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOEKESTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-439-2005
Mailing Address - Street 1:1801 TIMBER CANYON DR SE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-8772
Mailing Address - Country:US
Mailing Address - Phone:616-439-2005
Mailing Address - Fax:
Practice Address - Street 1:1801 TIMBER CANYON DR SE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-8772
Practice Address - Country:US
Practice Address - Phone:616-528-2846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)