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Organization
A NEW DIRECTION BREAKING THE CYCLE OF POVERTY
Active
Organization
A NEW DIRECTION BREAKING THE CYCLE OF POVERTY
Active
Other names
ANDBTCOP INC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFKIDA LASHA JOHNSON (CEO)
(334) 320-0084
Entity
Organization
Contact information
Practice address
320 1ST ST N STE 612, JACKSONVILLE BEACH, FL 32250-6947
(334) 647-1009
(888) 856-7677
Mailing address
320 1ST ST N STE 612, JACKSONVILLE BEACH, FL 32250-6947
(334) 647-1009
(888) 856-7677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241522
—
AL
05
—
840832
—
FL
Enumeration date
05/02/2012
Last updated
04/26/2022
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