| New Visions Of The Well | |
|
833 22nd St S Ste B St Petersburg FL 33712-2250 | |
| (727) 251-0743 | |
| Not Available |
| Full Name | New Visions Of The Well |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 833 22nd St S Ste B, St Petersburg, Florida |
| Authorized Official Name and Position | Ladonna Nicole Butler (PRESIDENT/CEO) |
| Authorized Official Contact | 7272510743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Visions Of The Well 4290 Narvarez Way S St Petersburg FL 33712-4039 Ph: (727) 251-0743 | New Visions Of The Well 833 22nd St S Ste B St Petersburg FL 33712-2250 Ph: (727) 251-0743 |
| NPI Number | 1649748138 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649748138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 374J00000X | Doula | (* (Not Available)) | Secondary |
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