Provider Demographics
NPI:1679245989
Name:A NEW PAGE COUNSELING, LLC
Entity Type:Organization
Organization Name:A NEW PAGE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-760-8953
Mailing Address - Street 1:4720 SALISBURY RD STE 238
Mailing Address - Street 2:A NEW PAGE COUNSELING, LLC
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6101
Mailing Address - Country:US
Mailing Address - Phone:904-493-6490
Mailing Address - Fax:
Practice Address - Street 1:4720 SALISBURY RD STE 238
Practice Address - Street 2:A NEW PAGE COUNSELING, LLC
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6101
Practice Address - Country:US
Practice Address - Phone:904-493-6490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health