Provider Demographics
| NPI: | 1184264533 |
|---|---|
| Name: | NEW VISION COUNSELING CENTER |
| Entity type: | Organization |
| Organization Name: | NEW VISION COUNSELING CENTER |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CLINICAL SUPERVISOR |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | JULIE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HAYDEN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PSYD |
| Authorized Official - Phone: | 858-848-1766 |
| Mailing Address - Street 1: | 8050 LA MESA BLVD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LA MESA |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 91942-0335 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 619-273-3549 |
| Mailing Address - Fax: | 619-463-2522 |
| Practice Address - Street 1: | 8050 LA MESA BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | LA MESA |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 91942-0335 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 619-273-3549 |
| Practice Address - Fax: | 619-463-2522 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-01-14 |
| Last Update Date: | 2024-12-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
