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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002875 | GA | Behavioral Health & Social Service Providers |
Street Address |
1805 HERRINGTON RD BUILDING 2 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30043-7987 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 30043 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30043 |
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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.