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 - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3636 UNIVERSITY BLVD S STE A9
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 323-1431
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NEW LIFE COUNSELING AND EDUCATIONAL SERVICES is an addiction (substance use disorder) 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:

3636 UNIVERSITY BLVD S STE A9
JACKSONVILLE, FL
ZIP 32216-209
Phone: (904) 323-1431

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 3/12/2021.

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			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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	1699319491	MEDICAID	FLORIDA

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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