1134363476 NPI number — NEW BEGINNINGS CHRISTIAN COUNSELING SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134363476 NPI number — NEW BEGINNINGS CHRISTIAN COUNSELING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW BEGINNINGS CHRISTIAN COUNSELING SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EATING DISORDER RECOVERY CENTER OF FLORIDA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134363476
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
467 LAKE HOWELL RD
Provider Second Line Business Mailing Address:
SUITE 208
Provider Business Mailing Address City Name:
MAITLAND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32751-5922
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-331-7717
Provider Business Mailing Address Fax Number:
407-331-7709

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
467 LAKE HOWELL RD
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
MAITLAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32751-5922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-331-7717
Provider Business Practice Location Address Fax Number:
407-331-7709
Provider Enumeration Date:
04/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
KENDALL
Authorized Official First Name:
DAWN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
407-331-7717

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  MH6623 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com