Provider Demographics
NPI:1255104212
Name:NEW SEASONS COUNSELING
Entity type:Organization
Organization Name:NEW SEASONS COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:QUADE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-920-2876
Mailing Address - Street 1:115 LINCOLN PLACE CT STE 102
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-5876
Mailing Address - Country:US
Mailing Address - Phone:252-777-2387
Mailing Address - Fax:618-416-1401
Practice Address - Street 1:115 LINCOLN PLACE CT STE 102
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62221-5876
Practice Address - Country:US
Practice Address - Phone:252-777-2387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health