New Leaf Counseling and Recovery, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LPC004583 Issued in GA

Legal business name

NEW LEAF COUNSELING AND RECOVERY, LLC

Practice address

107 Colony Park Dr
Suite 600
Cumming, GA 30040-2787

Phone

(678) 648-6021

NPI assigned

Nov 28, 2016

Last updated

Nov 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kanya Irving-Glymph, M.ED., LPCNPI 1851700397

Title

Owner/Director

Phone

(678) 648-6021

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kanya Irving-Glymph, LPC

  • Professional Counselor
  • Cumming, GA
  • NPI 1851700397
  NPD (past) Authorized official

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1518400324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COLONY PARK DR",
            "address_2": "SUITE 600",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402787",
            "telephone_number": "678-648-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COLONY PARK DR",
            "address_2": "SUITE 600",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402787",
            "telephone_number": "678-648-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF COUNSELING AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "IRVING-GLYMPH",
        "authorized_official_first_name": "KANYA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "678-648-6021",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "LPC004583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Beginnings Counseling, LLC
• New Dawn Affordable Care
• New Day ABA Therapy LLC
• New Day Learning & Behavior Strategies, Inc.
• New Focus Addiction and Behavioral Health Inc
• Newbrain LLC
• Newco Gi LLC (GI North)
• Jill Nevella Newcomb-Campanelli, P.T.
• Laurie Newcomb, LPC
• Mary Katherine Newman

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cumming, GA
• Providers in Cumming, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.