MEDICARE: NEW SOLUTIONS COUNSELING CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TP2701X	Group Psychotherapy Psychologist	ME55707	FL
2	103TP0016X	Prescribing (Medical) Psychologist	ME55707	FL
3	291U00000X	Clinical Medical Laboratory	800027326	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26985246	OTHER	FL	AHCA NUMBER
2	10D2076899	OTHER	FL	CLIA NUMBER

General Provider Information

NPI Number	:	1053771865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SOLUTIONS COUNSELING CENTERS

Provider Business Mailing Address
First Line	:	300 PROSPERITY FARMS RD STE F
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5212
Country	:	US
Telephone Number	:	561-249-7761
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 PROSPERITY FARMS RD STE F
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5212
Country	:	US
Telephone Number	:	561-249-7761
Fax Number	:

Authorized Official
Title or Position	:	BILLING AND COLLECTIONS
Name	:	CATHY PICILLO
Credential	:
Telephone Number	:	561-530-4291

Provider Enumeration Date	:	03/07/2016
Last Update Date	:	03/08/2016

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