Provider Demographics
NPI:1811660590
Name:NEW LIFE ASSESSMENTS & CONSULTATIONS LLC
Entity type:Organization
Organization Name:NEW LIFE ASSESSMENTS & CONSULTATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADDICTIONS COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:651-399-6347
Mailing Address - Street 1:925 PAYNE AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-4282
Mailing Address - Country:US
Mailing Address - Phone:651-399-6347
Mailing Address - Fax:
Practice Address - Street 1:925 PAYNE AVE STE B1
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-4282
Practice Address - Country:US
Practice Address - Phone:651-399-6347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty