My New Life Foundation, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MY NEW LIFE FOUNDATION, INC

Practice address

1607 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1237

Phone

(404) 437-2593

Fax

(404) 228-7957

NPI assigned

Mar 17, 2012

Last updated

Nov 15, 2012By 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

Demaria Lashung Henry

Title

Ceo

Phone

(404) 437-2593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1568737930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 WESTWOOD AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102366",
            "telephone_number": "404-437-2593",
            "fax_number": "404-228-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101237",
            "telephone_number": "404-437-2593",
            "fax_number": "404-228-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NEW LIFE FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-17",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DEMARIA",
        "authorized_official_middle_name": "LASHUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-437-2593"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Gay Doctor, P.C.
• My Little Personal Care, LLC (My Little Personal Homecare)
• My Matrix, Incorporated
• My MD Solutions,LLC
• My Medical Ally, LLC
• My Parents Keeper Inc
• My Passion for Seniors LLC
• My-GYN LLC
• Harriet Imogen Mycroft
• Savannah Mydell

• Substance Abuse Rehabilitation Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.