| New Life Alternatives LLC | |
|
3281 Coolidge Hwy Berkley MI 48072-1633 | |
| (313) 915-9138 | |
| (313) 216-2776 |
| Full Name | New Life Alternatives LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3281 Coolidge Hwy, Berkley, Michigan |
| Authorized Official Name and Position | Severia Adolphus (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3139159138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Alternatives LLC 24340 Dante St Oak Park MI 48237-3610 Ph: (313) 915-9138 | New Life Alternatives LLC 3281 Coolidge Hwy Berkley MI 48072-1633 Ph: (313) 915-9138 |
| NPI Number | 1033759659 |
|---|---|
| Provider Enumeration Date | 01/11/2020 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/21/2025 |
| Medicare PECOS PAC ID | 7810386976 |
|---|---|
| Medicare Enrollment ID | O20211110002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033759659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | () | Secondary |
| Provider Name | Severia Adolphus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992939052 PECOS PAC ID: 3274801246 Enrollment ID: I20211110002074 |
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