Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New Life Treatment Center

Organization Psychologist · NPI 1417492810

New Life Treatment Center is a Psychologist in Woodstock, Minnesota. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

130 Dakota St
Woodstock, MN 56186
Phone: (507) 777-4321
Fax: (507) 777-4284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Psychologist Taxonomy 103T00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1417492810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Thacker — Executive Director · (507) 777-4321
NPI enumeratedDecember 21, 2016
Last updated in NPPESDecember 21, 2016
Mailing address130 Dakota St S, Woodstock, MN 56186-1037

Other providers in Woodstock