Healthcare Provider Details

I. General information

NPI: 1376911198
Provider Name (Legal Business Name): NEW PERSPECTIVES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 09/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PARK CENTER CT STE 103
OWINGS MILLS MD
21117-5603
US

IV. Provider business mailing address

6 PARK CENTER CT STE 103
OWINGS MILLS MD
21117-5603
US

V. Phone/Fax

Practice location:
  • Phone: 410-356-3344
  • Fax: 410-356-4459
Mailing address:
  • Phone: 410-356-3344
  • Fax: 410-356-4459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSICA E LETOURNEAU
Title or Position: OWNER
Credential: LCPC
Phone: 410-356-3344