Healthcare Provider Details

I. General information

NPI: 1801924246
Provider Name (Legal Business Name): NEW LIFE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 GODWIN AVE SUITEC
LUMBERTON NC
28358-3197
US

IV. Provider business mailing address

2003 GODWIN AVE
LUMBERTON NC
28358-3197
US

V. Phone/Fax

Practice location:
  • Phone: 910-671-4067
  • Fax: 910-671-0383
Mailing address:
  • Phone: 910-671-4067
  • Fax: 910-671-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: NIKI LAREE HILL
Title or Position: CFO
Credential:
Phone: 910-671-4067