Wellformed AI

NPI 1972916153 · live from the CMS NPI Registry

A New Life Style, LLC

Counselor, Mental Health in Albuquerque, NM. National Provider Identifier 1972916153, active.

NPI record

NPI1972916153 Type 2 · organization
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location532 Adams St Ne, Albuquerque, NM 87108
Practice phone505-265-9393
EnumeratedJune 5, 2014
Last updatedJune 5, 2014
Authorized officialArchie Grine, Director/Ceo
Other namesA New Life Counseling

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X—
Counselor, Mental Health primary101YM0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.