Provider Demographics
NPI:1720813009
Name:NEW FAMILY COUNSELING LLC
Entity type:Organization
Organization Name:NEW FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YEBOAH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:812-557-7022
Mailing Address - Street 1:12020 WOODEN TRACE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-8382
Mailing Address - Country:US
Mailing Address - Phone:812-557-7022
Mailing Address - Fax:
Practice Address - Street 1:5330 S 3RD ST STE 234
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-2676
Practice Address - Country:US
Practice Address - Phone:502-305-6445
Practice Address - Fax:502-305-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty