Healthcare Provider Details

I. General information

NPI: 1194124271
Provider Name (Legal Business Name): NEW SOLUTIONS COUNSELING CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 10/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PROSPERITY FARMS RD STE F
NORTH PALM BEACH FL
33408-5212
US

IV. Provider business mailing address

300 PROSPERITY FARMS RD STE F
NORTH PALM BEACH FL
33408-5212
US

V. Phone/Fax

Practice location:
  • Phone: 561-530-4291
  • Fax: 561-530-4317
Mailing address:
  • Phone: 561-530-4291
  • Fax: 561-530-4317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMH11053
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number10D2076899
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1550AD888601
License Number StateFL

VIII. Authorized Official

Name: DENNIS TERWILLIGER
Title or Position: CO-OWNER
Credential:
Phone: 561-530-4291