A New Life Style, LLC

Organization Active NPI Mental Health Counselor · Albuquerque, NM

NPI 1972916153 · NPPES record last updated Jun 5, 2014

Key facts

NPI
1972916153
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
A NEW LIFE STYLE, LLC
Practice address
532 Adams St NE
Albuquerque, NM 87108-1229
Phone
(505) 265-9393
Fax
(505) 266-6130
NPI assigned
Jun 5, 2014
Organization subpart
No

Authorized official

Name
Archie Grine, LPCC
Title
Director/Ceo
Phone
(505) 265-9393

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
A New Life Counseling (2 organizations share this tax ID)

Locations

532 Adams St NE
Albuquerque, NM 87108
Phone (505) 265-9393

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X

Addresses

Primary practice location

532 Adams St NE
Albuquerque, NM 87108-1229

Mailing address

532 Adams St NE
Albuquerque, NM 87108-1229
Phone (505) 265-9393

Other names

  • A New Life Counseling Doing business as

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Mental Health Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.