| New Life Christian Counseling Center | |
|
405 Waymont Ct Ste. 111 Lake Mary FL 32746-3586 | |
| (407) 322-6868 | |
| (407) 322-6868 |
| Full Name | New Life Christian Counseling Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 405 Waymont Ct, Lake Mary, Florida |
| Authorized Official Name and Position | Brian Matthew Campbell (PRESIDENT) |
| Authorized Official Contact | 4073226868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Christian Counseling Center 405 Waymont Ct Ste. 111 Lake Mary FL 32746-3586 Ph: (407) 322-6868 | New Life Christian Counseling Center 405 Waymont Ct Ste. 111 Lake Mary FL 32746-3586 Ph: (407) 322-6868 |
| NPI Number | 1467491829 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467491829 | NPI | - | NPPES |
| 0005337111 | Other | FL | AETNA PIN BRIAN CAMPBELL |
| 1093863466 | Other | NPI BRIAN M CAMPBELL | |
| 73535 | Other | FL | BLUE CROSS BLUE SHIELD |
| 131134000 | Other | FL | MAGELLAN - BRIAN CAMPBELL |
| 053111 | Other | FL | VALUOPTIONS-BRIANCAMPBELL |
| 197423440 | Other | FL | TRICARECHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0004142 (Florida) | Primary |
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