New Life Substance Abuse & Behavioral Consultants, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004520 Issued in VA

Legal business name

NEW LIFE SUBSTANCE ABUSE & BEHAVIORAL CONSULTANTS, INC.

Doing business as

New Life Consultants

Practice address

2697 International Pkwy
Parkway One, Suite 204-1
Virginia Beach, VA 23452-7803

Phone

(757) 486-1143

Fax

(757) 486-1663

NPI assigned

Jul 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Quintaina L Taylor

Title

Co-Owner, Director of Administratio

Phone

(757) 486-1143

Specialties & licenses 3

Addresses

Other names 1

• New Life Consultants Doing business as

Locations

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1235441882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY",
            "address_2": "PARKWAY ONE, SUITE 204-1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-486-1143",
            "fax_number": "757-486-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 INTERNATIONAL PKWY",
            "address_2": "PARKWAY ONE, SUITE 204-1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527803",
            "telephone_number": "757-486-1143",
            "fax_number": "757-486-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SUBSTANCE ABUSE & BEHAVIORAL CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "QUINTAINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER, DIRECTOR OF ADMINISTRATIO",
        "authorized_official_telephone_number": "757-486-1143",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102138",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004520",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.