Organization
A NEW PATH IN CHRISTIAN COUSELING,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA I JOHNSON (OFFICE MANAGER)
(407) 271-8990
Entity
Organization
Contact information
Practice address
1140 S SEMORAN BLVD STE C, ORLANDO, FL 32807-1459
(407) 271-8990
Mailing address
1140 S SEMORAN BLVD STE C, ORLANDO, FL 32807-1459
(407) 271-8990
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2683822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001318300
—
FL
Enumeration date
02/02/2017
Last updated
02/02/2017
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