Organization · NPI-2
A New Life Counseling 365 LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Kissimmee, FL
NPI number1841066925
StatusActive
Last updated in NPPESNov 29, 2023
Details
- NPI
- 1841066925
- Entity type
- Organization (NPI-2)
- Legal business name
- A New Life Counseling 365 LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2023
- Certification date
- Nov 29, 2023
- Last updated
- Nov 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- A New Life Counseling 365 (Other Name)
Practice location
2730 Big Timber Dr Fl 34758Kissimmee, FL 34758-2513
Phone 863-608-9854
Mailing address
2730 Big Timber Dr Fl 34758Kissimmee, FL 34758-2513
Phone 863-608-9854
Authorized official
Nitza Nidia Santiago Ortiz
Licensed Mental Health Counselor
8636089854
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