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Organization
NEW LIFE COUNSELING AND EDUCATIONAL SERVICES
Active
Organization
NEW LIFE COUNSELING AND EDUCATIONAL SERVICES
Active
Other names
New Life
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELEECIA TUCKER LMHC (CLINICAL DIRECTOR)
(904) 536-4415
Entity
Organization
Contact information
Practice address
4417 BEACH BLVD STE 101, JACKSONVILLE, FL 32207-4728
(904) 551-4953
(904) 212-2366
Mailing address
4417 BEACH BLVD STE 101, JACKSONVILLE, FL 32207-4728
(904) 536-4415
(904) 212-2366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699319491
—
FL
Enumeration date
11/05/2019
Last updated
12/04/2023
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