Provider Demographics
NPI:1386050219
Name:NEW LIFE YOUTH & FAMILY COUNSELING
Entity type:Organization
Organization Name:NEW LIFE YOUTH & FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHUKWUDI
Authorized Official - Middle Name:VALENTINE
Authorized Official - Last Name:OPARAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-735-3683
Mailing Address - Street 1:1609 GREENBRIAR PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7640
Mailing Address - Country:US
Mailing Address - Phone:405-735-3683
Mailing Address - Fax:405-735-3524
Practice Address - Street 1:1609 GREENBRIAR PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7640
Practice Address - Country:US
Practice Address - Phone:405-735-3683
Practice Address - Fax:405-735-3524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management