| Organization Name: | NEWLIFE COUNSELING AND CONSULTATION, PLLC |
| NPI Number: | 1205203692 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREA L HAYWARD (EXECUTIVE DIRECTOR) |
| Mailing Address: | 17105 Kenton Dr Suite 205c Cornelius |
| State: | NC US |
| Postal Code: | 280315653 |
| Phone Number: | 7047276297 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C009419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |