Provider Demographics
NPI:1902655301
Name:NEW LIGHT HEALING
Entity type:Organization
Organization Name:NEW LIGHT HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUENSTERER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:817-676-4570
Mailing Address - Street 1:641 NELSON PARK DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7677
Mailing Address - Country:US
Mailing Address - Phone:817-676-4570
Mailing Address - Fax:
Practice Address - Street 1:641 NELSON PARK DR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-7677
Practice Address - Country:US
Practice Address - Phone:817-676-4570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)