MEDICARE: NEW LIGHT COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265364889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LIGHT COUNSELING LLC

Provider Business Mailing Address
First Line	:	4 SMITH LN
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5346
Country	:	US
Telephone Number	:	201-851-2254
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 SMITH LN
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5346
Country	:	US
Telephone Number	:	201-851-2254
Fax Number	:

Authorized Official
Title or Position	:	CEO/CLINICIAN
Name	:	MELISSA HENAO
Credential	:	LPC
Telephone Number	:	201-851-2254

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “NEW LIGHT COUNSELING LLC ” Practice Location

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