| New Life Mental Health & Behavioral Services Llc | |
|
8400 N University Dr Ste 212 Tamarac FL 33321-1700 | |
| (954) 696-0462 | |
| Not Available |
| Full Name | New Life Mental Health & Behavioral Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 8400 N University Dr Ste 212, Tamarac, Florida |
| Authorized Official Name and Position | Inez Austin (OWNER) |
| Authorized Official Contact | 9546960462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Mental Health & Behavioral Services Llc 8400 N University Dr Ste 212 Tamarac FL 33321-1700 Ph: (954) 696-0462 | New Life Mental Health & Behavioral Services Llc 8400 N University Dr Ste 212 Tamarac FL 33321-1700 Ph: (954) 696-0462 |
| NPI Number | 1538904362 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 0648714345 |
|---|---|
| Medicare Enrollment ID | O20240705002208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538904362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Inez Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023351442 PECOS PAC ID: 1557805256 Enrollment ID: I20240705002307 |
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