New Life Christian Counseling Center in Lake Mary - Clinical
New Life Christian Counseling Center - NPI 1467491829
New Life Christian Counseling Center is a Clinical in Lake Mary, Florida. New Life Christian Counseling Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for New Life Christian Counseling Center is 1467491829. The last update date is 2010-10-27.
New Life Christian Counseling Center's current location address is 405 Waymont Ct, Lake Mary, Florida. You can contact this provider via phone number 4073226868 and fax number 4073226868. The mailing address for New Life Christian Counseling Center is 405 Waymont Ct, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Life Christian Counseling Center |
|---|---|
| Address | 405 Waymont Ct, Lake Mary, Florida |
| Phone Number | 4073226868 |
| Fax Number | 4073226868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Campbell Matthew Brian |
| Credentials | PH.D. |
| Telephone Number | 4073226868 |
NPI Number Detail
| NPI Number | 1467491829 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2010-10-27 |
Provider Mailing Address Detail
| Address | 405 Waymont Ct |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327463586 |
| Phone Number | 4073226868 |
| Fax Number | 4073226868 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0004142 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5337111 | FL | AETNA PIN BRIAN CAMPBELL | |
| 1093863466 | NPI BRIAN M CAMPBELL | ||
| 73535 | FL | BLUE CROSS BLUE SHIELD | |
| 131134000 | FL | MAGELLAN - BRIAN CAMPBELL | |
| 53111 | FL | VALUOPTIONS-BRIANCAMPBELL | |
| 197423440 | FL | TRICARECHAMPUS |
Post Comment/ Review Below
What is the unique provider identifier assigned to New Life Christian Counseling Center?
The New Life Christian Counseling Center has been issued the NPI (National Provider Identifier) 1467491829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where New Life Christian Counseling Center is geographically located?
The New Life Christian Counseling Center is physically situated at the following location: 405 Waymont Ct, Lake Mary, FL, 327463586.
What is the area of specialization for New Life Christian Counseling Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for New Life Christian Counseling Center is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the New Life Christian Counseling Center receive the assignment of its 1467491829 from the Centers for Medicare & Medicaid Services?
The New Life Christian Counseling Center was issued its 1467491829 by the Centers for Medicare & Medicaid Services on 2006-06-04.
When was the information regarding New Life Christian Counseling Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to New Life Christian Counseling Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-10-27.
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