Provider Demographics
NPI:1013067420
Name:NEWLIFE COUNSELING CENTERS INC
Entity type:Organization
Organization Name:NEWLIFE COUNSELING CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SUMMERELL
Authorized Official - Last Name:ATWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:251-343-9411
Mailing Address - Street 1:8760 THREE NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619-5008
Mailing Address - Country:US
Mailing Address - Phone:251-343-9411
Mailing Address - Fax:251-343-9412
Practice Address - Street 1:6001 GRELOT RD
Practice Address - Street 2:SUITE D
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3609
Practice Address - Country:US
Practice Address - Phone:251-343-9411
Practice Address - Fax:251-343-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1275261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)