NEW LIFE DEVELOPMENT FOUNDATION (NPI# 1336740307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336740307 |
| Entity Type | Organization |
| Organization Name | NEW LIFE DEVELOPMENT FOUNDATION |
| Practice Address |
2406 Sidney Porter Dr Greensboro NC 27405-1692 |
| Practice Telephone | 6163340686 |
| Mailing Telephone | 6163340686 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | JOHNIE TYLER (OWNER) |
| Authorized Official Telephone | 6163440686 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers |
| Street Address |
2406 SIDNEY PORTER DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-1692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958858 | Darian L Grantham | Psychologist | 1223 Porter St, Goldsboro, NC 27530-6713 | 2018-07-10 |
| 1740779537 | Philip Helfaer | Psychologist | 100 Lassiter Rd, Pittsboro, NC 27312-8406 | 2018-05-07 |
| 1659691293 | Cassandra M. Germain | Psychologist | 1228 Links Dr, Morrisville, NC 27560-7056 | 2010-06-06 |
| 1336320993 | Pamela S. Perkins | Psychologist | 3401 Ventura Cir, Wake Forest, NC 27587-9390 | 2007-11-23 |
| 1679631758 | Roger Jerome Nunes | Psychologist | 105 Leon Dr, Goldsboro, NC 27530-9029 | 2006-12-04 |
| 1427089671 | Kristin Elizabeth Grapes | Psychologist | 2910 Briarcliff Road, Winston Salem, NC 27106-3176 | 2006-07-05 |
| 1144256637 | Valerie K Sawyer-smith | Psychologist | 100 Westgreen Dr, Suite 202, Chapel Hill, NC 27516-4417 | 2006-06-25 |
| 1083695340 | Monty G. Grubb | Psychologist | 7946 Market St, Suite 500, Wilmington, NC 28411-8724 | 2005-11-14 |
| 1639178965 | Angela Elizabeth Steep | Psychologist | 330 Valley River Ave, Murphy, NC 28906-2923 | 2005-07-19 |
| 1689041030 | Michelle Brosemer Rissling | Psychologist | 8000 Regency Pkwy, #570, Cary, NC 27518-8582 | 2015-09-01 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on NEW LIFE DEVELOPMENT FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.