Provider Demographics
NPI:1962732636
Name:NEW DIRECTIONS CLINICAL THERAPY INC.
Entity type:Organization
Organization Name:NEW DIRECTIONS CLINICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:AVERY
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-995-9560
Mailing Address - Street 1:800 W 5TH AVE STE 101I
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4948
Mailing Address - Country:US
Mailing Address - Phone:630-995-9560
Mailing Address - Fax:331-472-4794
Practice Address - Street 1:800 W 5TH AVE
Practice Address - Street 2:SUITE 101-I
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8965
Practice Address - Country:US
Practice Address - Phone:630-995-9560
Practice Address - Fax:331-472-4794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-01
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0099741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty