Provider Demographics
NPI:1104520436
Name:NEW PATHS COUNSELING SERVICES
Entity type:Organization
Organization Name:NEW PATHS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:HAMBLET-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LMHC
Authorized Official - Phone:352-541-0421
Mailing Address - Street 1:3463 NW 13TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-2172
Mailing Address - Country:US
Mailing Address - Phone:352-541-0421
Mailing Address - Fax:
Practice Address - Street 1:3463 NW 13TH ST STE C
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-2172
Practice Address - Country:US
Practice Address - Phone:352-541-0421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1659760817OtherINDIVIDUAL NPI