| New Life Community Mental | |
|
1690 Nw 19th Ter Miami FL 33125-1593 | |
| (305) 325-8620 | |
| (305) 549-7229 |
| Full Name | New Life Community Mental |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1690 Nw 19th Ter, Miami, Florida |
| Authorized Official Name and Position | David Edson (PRESIDENT) |
| Authorized Official Contact | 3053258620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Community Mental 1690 Nw 19th Ter Miami FL 33125-1593 Ph: (305) 325-8620 | New Life Community Mental 1690 Nw 19th Ter Miami FL 33125-1593 Ph: (305) 325-8620 |
| NPI Number | 1730141284 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730141284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ME55324 (Florida) | Primary |
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