MK NEW LIFE NPI 1447519913

NPI Information

NPI: 1447519913
Provider Name: MK NEW LIFE
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Address: 3800 S TAMIAMI TRL
PARADISE PLAZA SUITE 305
SARASOTA, FL
ZIP 34239
Phone: (941) 275-7966

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NPI Details

MK NEW LIFE is a mental health counselor in Sarasota, FL. MK NEW LIFE NPI is 1447519913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 S TAMIAMI TRL
PARADISE PLAZA SUITE 305
SARASOTA, FL
ZIP 34239-908
Phone: (941) 275-7966
Fax: (941) 429-7705

The provider's authorized official is Masami Tanaka Kolbenschlag .
The authorized official title is President and has the following contact phone number (941) 275-7966.

The enumeration date for this NPI number is 5/3/2012 and was last updated on 5/3/2012.

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	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH9277	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60054	OTHER	FLORIDA	AETNA
2	Z148M	OTHER	FLORIDA	BCBSFL
3	=========	OTHER	FLORIDA	TRI-CARE SOUTH (HUMANA)

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: 3/30/2025

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