Healthcare Provider Details

I. General information

NPI: 1164018420
Provider Name (Legal Business Name): NEW CREATION COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4499 STATE 27 BUILDING 1 FIRST FLOOR
PRINCETON NJ
08540
US

IV. Provider business mailing address

4499 STATE 27 BUILDING 1 FIRST FLOOR
PRINCETON NJ
08540
US

V. Phone/Fax

Practice location:
  • Phone: 732-723-8343
  • Fax: 732-358-0933
Mailing address:
  • Phone: 732-723-8343
  • Fax: 732-358-0933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGEL WINDHAM
Title or Position: FOUNDER/CEO
Credential: LCSW
Phone: 732-723-8343