Healthcare Provider Details

I. General information

NPI: 1629736004
Provider Name (Legal Business Name): NEW PERSPECTIVE COUNSELING INDIVIDUAL AND FAMILY THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26441 CROWN VALLEY PKWY STE 101
MISSION VIEJO CA
92691-8529
US

IV. Provider business mailing address

PO BOX 14244
IRVINE CA
92623-4244
US

V. Phone/Fax

Practice location:
  • Phone: 949-835-3786
  • Fax:
Mailing address:
  • Phone: 949-835-3786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARA HOADLEY
Title or Position: OWNER
Credential: LMFT
Phone: 949-835-3786