Healthcare Provider Details

I. General information

NPI: 1053771865
Provider Name (Legal Business Name): NEW SOLUTIONS COUNSELING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 03/08/2016
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: 561-249-7761
  • Fax:
Mailing address:
  • Phone: 561-249-7761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberME55707
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License NumberME55707
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number800027326
License Number StateFL

VIII. Authorized Official

Name: CATHY PICILLO
Title or Position: BILLING AND COLLECTIONS
Credential:
Phone: 561-530-4291