Healthcare Provider Details

I. General information

NPI: 1760970099
Provider Name (Legal Business Name): NEW HOPE & HEALING CLINICAL ASSOCIATES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 MILLER ST STE 5
ORANGE PARK FL
32073
US

IV. Provider business mailing address

1950 MILLER ST STE 5
ORANGE PARK FL
32073-4760
US

V. Phone/Fax

Practice location:
  • Phone: 904-592-7834
  • Fax:
Mailing address:
  • Phone: 904-592-7834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIBEL LOZADA-SOLBERG
Title or Position: PRESIDENT
Credential:
Phone: 305-409-5905