MEDICARE: NEW CREATION COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1164018420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CREATION COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	4499 STATE 27 BUILDING 1 FIRST FLOOR
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540
Country	:	US
Telephone Number	:	732-723-8343
Fax Number	:	732-358-0933

Provider Business Practice Location Address
First Line	:	4499 STATE 27 BUILDING 1 FIRST FLOOR
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540
Country	:	US
Telephone Number	:	732-723-8343
Fax Number	:	732-358-0933

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	MRS. ANGEL WINDHAM
Credential	:	LCSW
Telephone Number	:	732-723-8343

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	06/04/2026

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