Provider Demographics
NPI:1144004086
Name:NEW LIFE COACHING & DEVELOPMENT LLC
Entity type:Organization
Organization Name:NEW LIFE COACHING & DEVELOPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONALD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-707-7782
Mailing Address - Street 1:7110 ORCHARD LAKE RD UNIT 3040
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3897
Mailing Address - Country:US
Mailing Address - Phone:734-707-7782
Mailing Address - Fax:
Practice Address - Street 1:7110 ORCHARD LAKE RD UNIT 3040
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3897
Practice Address - Country:US
Practice Address - Phone:737-342-8469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)