Healthcare Provider Details

I. General information

NPI: 1003422460
Provider Name (Legal Business Name): NEW VISION BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E MIDLOTHIAN BLVD
YOUNGSTOWN OH
44507-2019
US

IV. Provider business mailing address

80 E MIDLOTHIAN BLVD
YOUNGSTOWN OH
44507-2019
US

V. Phone/Fax

Practice location:
  • Phone: 330-234-5251
  • Fax: 330-234-5251
Mailing address:
  • Phone: 330-234-5251
  • Fax: 330-234-5251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HASHEEN WILSON
Title or Position: OWNER
Credential: MBA
Phone: 330-234-5251