Healthcare Provider Details

I. General information

NPI: 1285515452
Provider Name (Legal Business Name): NEW JOURNEY COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1429 OAKFIELD DR
BRANDON FL
33511-2801
US

IV. Provider business mailing address

16127 LONEOAK VIEW DR
LITHIA FL
33547-4894
US

V. Phone/Fax

Practice location:
  • Phone: 813-489-4547
  • Fax: 813-381-5140
Mailing address:
  • Phone: 813-867-4871
  • Fax: 813-381-5140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CASANDRA A MERRITT
Title or Position: MANAGER
Credential:
Phone: 813-957-2239