Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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New-Lite Living Choices Tunstall Marvin Gen Ptr

Organization Mental Health Counselor · NPI 1114052123

New-Lite Living Choices Tunstall Marvin Gen Ptr is a Mental Health Counselor in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
8
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Practice location Address checks out

3634 Vest Mill Rd
Winston Salem, NC 27103-2910
Phone: (704) 547-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 8300407 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 8300407 (NC)
Case Management Agency Taxonomy 251B00000X · Licence 8300407 (NC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence 6603599 (NC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence 6603600 (NC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence 6603994 (NC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence 6604265 (NC)

Record details

NPI number1114052123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Cahoon — Billing Specialist · (704) 906-8893
NPI enumeratedFebruary 22, 2007
Last updated in NPPESFebruary 3, 2009
Mailing address416 McCullough Dr, Suite 125, Charlotte, NC 28262-4385

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