Healthcare Provider Details

I. General information

NPI: 1578316659
Provider Name (Legal Business Name): NEW PERSPECTIVE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11595 DUNNS CROSSING DR
JACKSONVILLE FL
32218-9341
US

IV. Provider business mailing address

11595 DUNNS CROSSING DR
JACKSONVILLE FL
32218-9341
US

V. Phone/Fax

Practice location:
  • Phone: 757-741-8386
  • Fax:
Mailing address:
  • Phone: 347-326-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SARAH BOSTON
Title or Position: LMHC
Credential: LMHC
Phone: 757-741-8386