NEW LIFE 360 INC. NPI 1194205542

NPI Information

NPI: 1194205542
Provider Name: NEW LIFE 360 INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1047 E BRANDON BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 548-1166
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NEW LIFE 360 INC. is a mental health (including community mental health center) clinic center in Brandon, FL. NEW LIFE 360 INC. NPI is 1194205542. The provider is registered as an organization entity type.

The provider's business location address is:

1047 E BRANDON BLVD
BRANDON, FL
ZIP 33511-515
Phone: (813) 548-1166

The provider's authorized official is Sherry Bradley .
The authorized official title is Ceo and has the following contact phone number (734) 658-5055.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 10/30/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	251S00000X	Community/Behavioral Health		No
4	261QV0200X	Clinic/Center	VA	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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: 11/14/2023

NPI Synchronization or Removal

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