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General NPI Number Information
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NPI Number | 1396351565
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Entity Type | Organization
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Legal Business Name | NEW PERSPECTIVES THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 7855 ARGYLE FOREST BLVD STE 703
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City | JACKSONVILLE
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State | FL
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Zip | 32244-7705
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Country | US
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Telephone | 904-450-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 7643 GATE PKWY STE 104-707
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City | JACKSONVILLE
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State | FL
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Zip | 32256-2893
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Country | US
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Telephone | 904-450-1215
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NIGERIA K MCHELLON
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Credential | LCSW
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Telephone | 904-450-1215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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