Provider Demographics
NPI:1972802668
Name:NEW LEAF COUNSELING
Entity type:Organization
Organization Name:NEW LEAF COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LCMHC
Authorized Official - Phone:603-524-0777
Mailing Address - Street 1:63 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-3402
Mailing Address - Country:US
Mailing Address - Phone:603-524-0777
Mailing Address - Fax:603-296-4089
Practice Address - Street 1:63 CHURCH ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3402
Practice Address - Country:US
Practice Address - Phone:603-524-0777
Practice Address - Fax:603-296-4089
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE BIRCH STREET COUNSELING CTR., INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty