Organization
NEW VISION BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZANETA ELLISON LMHC (OWNER/THERAPIST)
(727) 400-7643
Entity
Organization
Contact information
Practice address
1601 49TH ST S, GULFPORT, FL 33707-4340
(727) 687-0997
Mailing address
PO BOX 11913, SAINT PETERSBURG, FL 33733-1913
(727) 687-0997
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH12585
FL
Other
Enumeration date
01/06/2017
Last updated
09/17/2021
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