Healthcare Provider Details

I. General information

NPI: 1255015269
Provider Name (Legal Business Name): NEW RULEZ ACADEMY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W BEAVER ST STE 114
JACKSONVILLE FL
32204-1415
US

IV. Provider business mailing address

1225 W BEAVER ST STE 114
JACKSONVILLE FL
32204-1415
US

V. Phone/Fax

Practice location:
  • Phone: 833-438-8823
  • Fax: 833-438-8823
Mailing address:
  • Phone: 833-438-8823
  • Fax: 833-438-8823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MS. LATOYA OATES
Title or Position: PRESIDENT
Credential: PMH
Phone: 833-438-8823