MEDICARE: NEW GROWTH

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	:	1598611477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW GROWTH

Provider Business Mailing Address
First Line	:	16085 E DOMIANO LN
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-7238
Country	:	US
Telephone Number	:	225-394-5143
Fax Number	:

Provider Business Practice Location Address
First Line	:	16085 E DOMIANO LN
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-7238
Country	:	US
Telephone Number	:	225-394-5143
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	DESTINY WEBRE
Credential	:	LCSW
Telephone Number	:	225-394-5143

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “NEW GROWTH ” Practice Location

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