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Contact Information

NEW LIFE ADVANTAGE SUPPORT
200 TILLARY ST
BROOKLYN, NY11201-3010
 Phone: 938-888-4697
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Psychiatric/Mental Health, Child & Adolescent

163WP0807X
Indicates primary specialty

NPI Profile & details for NEW LIFE ADVANTAGE SUPPORT

NPI # 1780498311
LBN Legal business name NEW LIFE ADVANTAGE SUPPORT
Authorized official TAYANA THOMPSON - (OWNER/FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2025
Last updated 05/31/2026 - Less than a week ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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