MEDICARE: NEW LEAF HEALTH INC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1225816887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LEAF HEALTH INC

Provider Business Mailing Address
First Line	:	103 S MAIN ST
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24541-2921
Country	:	US
Telephone Number	:	434-203-3335
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 S MAIN ST
Second Line	:
City	:	DANVILLE
State	:	VA
Zip	:	24541-2921
Country	:	US
Telephone Number	:	434-203-3335
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	LINDA ZIMMERMANN
Credential	:
Telephone Number	:	434-203-3335

Provider Enumeration Date	:	09/15/2023
Last Update Date	:	09/15/2023

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Directions to “NEW LEAF HEALTH INC ” Practice Location

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