Provider Demographics
NPI:1356233175
Name:NEW LIFE SUBSTANCE COUNSELING
Entity type:Organization
Organization Name:NEW LIFE SUBSTANCE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:LETISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORZINE
Authorized Official - Suffix:
Authorized Official - Credentials:THW, CADC1, CRM
Authorized Official - Phone:541-591-7889
Mailing Address - Street 1:1931 MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-2726
Mailing Address - Country:US
Mailing Address - Phone:541-882-4895
Mailing Address - Fax:
Practice Address - Street 1:1931 MISSION AVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-2726
Practice Address - Country:US
Practice Address - Phone:541-882-4895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KLAMATH FALLS GOSPEL MISSION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty