Healthcare Provider Details

I. General information

NPI: 1538944327
Provider Name (Legal Business Name): NEW GROWTH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023
Certification Date: 08/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 5TH ST SE
RIO RANCHO NM
87124-1467
US

IV. Provider business mailing address

1500 5TH ST SE
RIO RANCHO NM
87124-1467
US

V. Phone/Fax

Practice location:
  • Phone: 505-280-1928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: DENISE BARNER
Title or Position: OWNER
Credential: LPCC
Phone: 505-421-0470