Healthcare Provider Details
I. General information
NPI: 1447411194
Provider Name (Legal Business Name): NEW DIRECTIONS MENTAL HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2008
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 HIDDEN VALLEY RD
MC MURRAY PA
15317-2685
US
IV. Provider business mailing address
110 HIDDEN VALLEY RD
MC MURRAY PA
15317-2685
US
V. Phone/Fax
- Phone: 724-941-4070
- Fax: 724-941-5083
- Phone: 724-941-4070
- Fax: 724-941-5083
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
OSCAR
URREA
Title or Position: CEO
Credential: M.D.
Phone: 724-941-4070