| New Living Counseling | |
|
34028 Azalea Dr N Pinellas Park FL 33781-2653 | |
| (470) 239-0686 | |
| (855) 617-3605 |
| Full Name | New Living Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 34028 Azalea Dr N, Pinellas Park, Florida |
| Authorized Official Name and Position | Hector Anibal Pereles (OWNER/PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4702390686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Living Counseling 34028 Azalea Dr N Pinellas Park FL 33781-2653 Ph: (470) 239-0686 | New Living Counseling 34028 Azalea Dr N Pinellas Park FL 33781-2653 Ph: (470) 239-0686 |
| NPI Number | 1043081532 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 3678916855 |
|---|---|
| Medicare Enrollment ID | O20240205001551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043081532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Hector Anibal Pereles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275829426 PECOS PAC ID: 4587007760 Enrollment ID: I20240205001705 |
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