Mission New Life

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

367080 Issued in PA

Legal business name

MISSION NEW LIFE

Practice address

29 E Walnut St
Lancaster, PA 17602-4936

Phone

(717) 329-4178

Fax

(717) 533-6071

NPI assigned

Mar 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Harvey Haack, LPC, LMFT, CACD

Title

President

Phone

(717) 329-4178

Specialties & licenses 1

Addresses

Other names 1

• First Church Clinic Other name

Tax ID family

First Church Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mission New Life

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1033398078
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191628800000",
    "number": "1003948811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CRESCENT DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332335",
            "telephone_number": "717-329-4178",
            "fax_number": "717-533-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E WALNUT ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024936",
            "telephone_number": "717-329-4178",
            "fax_number": "717-533-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION NEW LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-10-06",
        "status": "A",
        "authorized_official_last_name": "HAACK",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-329-4178",
        "authorized_official_credential": "LPC, LMFT, CACD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "367080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Church Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamie Minick
• Austin Minnich
• Miracle Transport Services, LLC
• Noah Miranda
• Umesh Chander Mishra, MD
• Mission New Life
• Keishawna Mitchell, LPN
• Tammitha Marie Mitchell, MA BSL
• Tyler Mitchell
• MJ6 Enterprises

• Community/Behavioral Health Agency in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.