New Life Counseling and Community Services, LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

6301015504 Issued in MI

Legal business name

NEW LIFE COUNSELING AND COMMUNITY SERVICES, LLC

Practice address

7810 Southfield Fwy
Detroit, MI 48228-3580

Phone

(313) 465-5111

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Jumbo Eyo

Title

President/Ceo

Phone

(313) 465-5111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1780099333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 SOUTHFIELD FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283580",
            "telephone_number": "313-465-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 SOUTHFIELD FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283580",
            "telephone_number": "313-465-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING AND COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "EYO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JUMBO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "313-465-5111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MI",
            "license": "6301015504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Detroit, MI
• Providers in Detroit, MI by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.