Healthcare Provider Details

I. General information

NPI: 1700962776
Provider Name (Legal Business Name): NEW LIFE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 GODWIN AVE SUITE C
LUMBERTON NC
28358-3197
US

IV. Provider business mailing address

2003 GODWIN AVE SUITE C
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 TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number6107010
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number8300185B
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number8300185H
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number8300185G
License Number StateNC

VIII. Authorized Official

Name: CAROLYN FLOYD ROBINSON
Title or Position: CHIEF OPERATING OFFICER/DIRECTOR
Credential: CSAC
Phone: 910-671-4067