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General NPI Number Information
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NPI Number | 1619514338
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Entity Type | Organization
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Legal Business Name | NEW LIFE COUNSELING & CONSULTING LLC
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Dates
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Enumeration Date | 12/01/2019
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 3524 BRAMBLETON AVE STE 6
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City | ROANOKE
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State | VA
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Zip | 24018-6528
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Country | US
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Telephone | 540-384-0767
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 3RD ST SW STE 2
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City | ROANOKE
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State | VA
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Zip | 24016-5219
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Country | US
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Telephone | 540-384-0767
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | SABRINA COWAN
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Credential | LPC
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Telephone | 540-384-0767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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