Provider Demographics
NPI:1063878361
Name:NEW PARADIGMS COUNSELING
Entity type:Organization
Organization Name:NEW PARADIGMS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:CAP
Authorized Official - Phone:239-227-2839
Mailing Address - Street 1:235 AIRPORT RD S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-3510
Mailing Address - Country:US
Mailing Address - Phone:239-227-2839
Mailing Address - Fax:239-465-0639
Practice Address - Street 1:235 AIRPORT RD S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-3510
Practice Address - Country:US
Practice Address - Phone:239-227-2839
Practice Address - Fax:239-465-0639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2011AD873101251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health