Provider Demographics
NPI:1386339976
Name:NEW LIFE SOLUTIONS PLLC
Entity type:Organization
Organization Name:NEW LIFE SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:MUNCY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:769-355-9039
Mailing Address - Street 1:168 HEMINGWAY PL
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-2318
Mailing Address - Country:US
Mailing Address - Phone:769-355-9039
Mailing Address - Fax:
Practice Address - Street 1:117 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-1301
Practice Address - Country:US
Practice Address - Phone:502-603-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty