Healthcare Provider Details
I. General information
NPI: 1255259388
Provider Name (Legal Business Name): SOMETHING NEW COUNSELING AND CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
130 W GUADALUPE RD APT 2040
GILBERT AZ
85233-3344
US
IV. Provider business mailing address
130 W GUADALUPE RD APT 2040
GILBERT AZ
85233-3344
US
V. Phone/Fax
- Phone: 951-922-5055
- Fax:
- Phone: 951-922-5055
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMANDA
MICHELLE
HARMON
Title or Position: OWNER/OPERATOR
Credential: LPCC
Phone: 951-922-5055