Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

New-Lite Living Choices Tunstall Marvin Gen Ptr

Organization Mental Health Counselor · NPI 1114052123

New-Lite Living Choices Tunstall Marvin Gen Ptr provides Mental Health Counselor services 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 Not confirmed with CMS for 17 years — call before visiting
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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