NEW LIFE PSYCHOLOGY SERVICES, LLC


Address: 1805 Herrington Rd, Building 2, Lawrenceville, GA 30043-7987
Phone: 7709621944

NEW LIFE PSYCHOLOGY SERVICES, LLC (NPI# 1932394855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932394855
Entity Type Organization
Organization Name NEW LIFE PSYCHOLOGY SERVICES, LLC
Practice Address 1805 Herrington Rd
Building 2
Lawrenceville
GA 30043-7987
Practice Telephone 7709621944
Mailing Telephone 7709621944
Enumeration Date 2007-09-13
Last Update Date 2007-09-13
Authorized Official Name DR. MARNETTE BENDER GRALL (OWNER)
Authorized Official Telephone 4045181018
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY002875 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1805 HERRINGTON RD
BUILDING 2
City LAWRENCEVILLE
State GA
Zip Code 30043-7987

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780784454 Nasira R. Ali Psychiatry & Neurology 1805 Herrington Rd, Bldg. 1 Suite A, Lawrenceville, GA 30043-7987 2006-09-23
1205372877 Krisnir Corporation Internal Medicine 1805 Herrington Rd, Bldg# 2, Lawrenceville, GA 30043-7987 2017-01-06
1013319847 Gwinnett Psychology, LLC Psychologist 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 2014-09-24
1548513963 Cassin Cole-straub Psychologist 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 2012-10-23
1437437837 Southern Dermatology PC Dermatology 1805 Herrington Rd, Building 3, Suite A, Lawrenceville, GA 30043-7987 2011-08-02
1760690960 Rachel Kelli Lacy Clinical Neuropsychologist 1805 Herrington Rd, Building 3, Ste. 3-b, Lawrenceville, GA 30043-7987 2007-05-19
1861513673 Mary E Melton, Phd, PC Psychologist 1805 Herrington Rd, #2, Lawrenceville, GA 30043-5649 2007-04-02
1124159405 Rachel E. Christian, Ph.d., P.C. Psychologist 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-5649 2007-03-08
1285789222 Joseph Henry Fallon Jr. Psychologist 1805 Herrington Rd, Bldg 2, Lawrenceville, GA 30043-5649 2007-01-23
1205995487 Gerda R Abbey Psychologist 1805 Herrington Rd, Building #2, Lawrenceville, GA 30043-5649 2006-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609483882 Brittany Javier Dunn Counselor 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 2020-09-30
1629614037 Terrea Gina Bridges Behavior Technician 2387 Huntcrest Rd, Lawrenceville, GA 30043 2019-11-20
1215581756 Elegant Lm Management, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1020 Meadowsong Circle, Lawrenceville, GA 30043 2019-08-01
1093299778 Shareef Nahas Clinical Medical Laboratory 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 2018-09-19
1649766874 Nutritionecw LLC Dietitian, Registered 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 2018-07-11
1962997965 David Le Nguyen Dentist 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 2018-06-22
1932611688 Asfc Outreach Therapeutic Counseling Services, LLC Counselor 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 2017-11-02
1518486810 Shira Brey Williams Specialist/Technologist 1030 Collins Hill Rd, Lawrenceville, GA 30043 2017-09-18
1700300795 Nympha J. Mathurin Meadows Behavioral Analyst 650 Oxford Crest Ct, Lawrenceville, GA 30043 2017-08-01
1992245591 Jagruti Chaudhari Nurse Practitioner 855 Buford Drive, Lawrenceville, GA 30043 2017-03-01
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659980944 Lisa Spatafore Psychologist 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 2020-07-23
1790319549 Thaddeus Reecesiri Reece Psychologist 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 2020-03-02
1740540798 William Dundon Psychologist 28204 Cherry Blossom Ct, Lawrenceville, NJ 08648-1288 2012-05-24
1427346774 Amanda Michelel Woods Psychologist 285 South Perry Street, Lawrenceville, GA 30045 2011-07-20
1639343221 Drm Consulting Services, Inc Psychologist 485 S Perry St Ste D, Lawrenceville, GA 30045-4951 2008-04-15
1093909822 Lon Maletta Psychologist 66 Lawrenceville Penning Rd, Lawrenceville, NJ 08648-1651 2007-09-05
1780896845 Karen A. Dean, Ph.d., P.C. Psychologist 1805 Herrington Road, Building 2, Lawrenceville, GA 30043 2007-05-03
1861511800 Robert E. Fisher Psychologist 1147 Planters Rd, Lawrenceville, VA 23868-3345 2007-03-29
1548395031 Mary Elizabeth Gordon Psychologist 285 South Perry St, Lawrenceville, GA 30045 2007-02-23
1912059726 Lawrence K Straus Psychologist 993 Lenox Dr, Suite 200, Lawrenceville, NJ 08648-2316 2007-01-18
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Competitor

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City LAWRENCEVILLE
Zip Code 30043

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Dataset Information

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.

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