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NEW LIFE COUNSELING AND EDUCATIONAL SERVICES NPI 1699319491


NPI Information

NPI: 1699319491
Provider Name: NEW LIFE COUNSELING AND EDUCATIONAL SERVICES

Doing Business As: NEW LIFE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4417 BEACH BLVD STE 101
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 551-4953
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NEW LIFE COUNSELING AND EDUCATIONAL SERVICES is a mental health counselor in Jacksonville, FL. NEW LIFE COUNSELING AND EDUCATIONAL SERVICES NPI is 1699319491. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Life.

The provider's business location address is:

4417 BEACH BLVD STE 101
JACKSONVILLE, FL
ZIP 32207-728
Phone: (904) 551-4953
Fax: (904) 212-2366

The provider's authorized official is Meleecia Tucker .
The authorized official title is Clinical Director and has the following contact phone number (904) 536-4415.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 12/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11699319491MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.