| New Vision Behavioral Health Inc | |
|
1601 49th St S Gulfport FL 33707-4340 | |
| (727) 687-0997 | |
| Not Available |
| Full Name | New Vision Behavioral Health Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1601 49th St S, Gulfport, Florida |
| Authorized Official Name and Position | Zaneta Ellison (OWNER/THERAPIST) |
| Authorized Official Contact | 7274007643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vision Behavioral Health Inc Po Box 11913 Saint Petersburg FL 33733-1913 Ph: (727) 687-0997 | New Vision Behavioral Health Inc 1601 49th St S Gulfport FL 33707-4340 Ph: (727) 687-0997 |
| NPI Number | 1497291041 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497291041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH12585 (Florida) | Primary |
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