| New Age Consultation | |
|
1389 W Maple Ave Apt C4 Adrian MI 49221-1354 | |
| (574) 855-0009 | |
| Not Available |
| Full Name | New Age Consultation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1389 W Maple Ave Apt C4, Adrian, Michigan |
| Authorized Official Name and Position | Izayah T Newsom (OWNER) |
| Authorized Official Contact | 5748550009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Consultation 1389 W Maple Ave Apt C4 Adrian MI 49221-1354 Ph: (574) 855-0009 | New Age Consultation 1389 W Maple Ave Apt C4 Adrian MI 49221-1354 Ph: (574) 855-0009 |
| NPI Number | 1073262036 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 03/18/2022 |
| Certification Date | 03/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073262036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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