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NEW LIFE CHRISTIAN COUNSELING CENTER NPI 1467491829


NPI Information

NPI: 1467491829
Provider Name: NEW LIFE CHRISTIAN COUNSELING CENTER
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
405 WAYMONT CT
STE. 111
LAKE MARY, FL
ZIP 32746
Phone: (407) 322-6868
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NEW LIFE CHRISTIAN COUNSELING CENTER is a clinical psychologist in Lake Mary, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NEW LIFE CHRISTIAN COUNSELING CENTER NPI is 1467491829. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

405 WAYMONT CT
STE. 111
LAKE MARY, FL
ZIP 32746-586
Phone: (407) 322-6868
Fax: (407) 322-6868

The provider's authorized official is Brian Matthew Campbell .
The authorized official title is President and has the following contact phone number (407) 322-6868.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 10/27/2010.


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
1103TC0700XPsychologistClinicalPY0004142FLORIDAYes

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
1131134000OTHERFLORIDAMAGELLAN - BRIAN CAMPBELL
273535AMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
30005337111OTHERFLORIDAAETNA PIN BRIAN CAMPBELL
41093863466OTHERNPI BRIAN M CAMPBELL
573535OTHERFLORIDABLUE CROSS BLUE SHIELD
6197423440OTHERFLORIDATRICARECHAMPUS
7053111OTHERFLORIDAVALUOPTIONS-BRIANCAMPBELL

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.