Provider Demographics
NPI:1801924246
Name:NEW LIFE SERVICES, INC
Entity type:Organization
Organization Name:NEW LIFE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NIKI
Authorized Official - Middle Name:LAREE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-671-4067
Mailing Address - Street 1:2003 GODWIN AVE
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3197
Mailing Address - Country:US
Mailing Address - Phone:910-671-4067
Mailing Address - Fax:910-671-0383
Practice Address - Street 1:2003 GODWIN AVE
Practice Address - Street 2:SUITEC
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3197
Practice Address - Country:US
Practice Address - Phone:910-671-4067
Practice Address - Fax:910-671-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905410Medicaid
NC6006062Medicaid
NC3408075Medicaid
NC7804300Medicaid