New Life for Women, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

NEW LIFE FOR WOMEN, INC.

Practice address

814 N Congress St
Jackson, MS 39202-2551

Phone

(601) 355-2195

Fax

(601) 354-4193

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Amy Gibbons, LCSW

Title

Clinical Director

Phone

(601) 355-2195

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1083047161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N CONGRESS ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022551",
            "telephone_number": "601-355-2195",
            "fax_number": "601-354-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N CONGRESS ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022551",
            "telephone_number": "601-355-2195",
            "fax_number": "601-354-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE FOR WOMEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "601-355-2195",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason Tyler Newbaker
• Kaitlyn Barber Newbaker

• All providers in Jackson, MS
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.