Provider Demographics
NPI:1194573543
Name:NEWAGE COUNSELING AND REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:NEWAGE COUNSELING AND REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:NNAEMEKA
Authorized Official - Last Name:NWOKEM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-475-1583
Mailing Address - Street 1:7330 COLIMA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7330 COLIMA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2743
Practice Address - Country:US
Practice Address - Phone:281-475-1583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty