Provider Demographics
NPI:1013659523
Name:NEW DESTINY COUNSELING, LLC
Entity Type:Organization
Organization Name:NEW DESTINY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANA
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-515-0900
Mailing Address - Street 1:5 E 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2907
Mailing Address - Country:US
Mailing Address - Phone:541-515-0900
Mailing Address - Fax:
Practice Address - Street 1:5 E 24TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-2907
Practice Address - Country:US
Practice Address - Phone:541-515-0900
Practice Address - Fax:541-799-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty