Wellformed AI

NPI 1194484923 · live from the CMS NPI Registry

A New Page Counseling LLC

Social Worker, Clinical in Jacksonville, FL. National Provider Identifier 1194484923, active.

NPI record

NPI1194484923 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location8647 Baypine Rd Ste 206, Jacksonville, FL 32256
Practice phone904-490-6974
Mailing address12973 Chets Creek Dr S, Jacksonville, FL 32224
EnumeratedDecember 9, 2021
Last updatedDecember 13, 2023
Authorized officialLetha Page, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.