Provider Demographics
NPI:1992983308
Name:NEW OPTIONS AND LIFESTYLES DEVELOPMENT CENTER, INC.
Entity type:Organization
Organization Name:NEW OPTIONS AND LIFESTYLES DEVELOPMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-930-7317
Mailing Address - Street 1:5448 HOFFNER AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-2508
Mailing Address - Country:US
Mailing Address - Phone:407-930-7317
Mailing Address - Fax:407-850-8142
Practice Address - Street 1:5448 HOFFNER AVE STE 307
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2508
Practice Address - Country:US
Practice Address - Phone:407-930-7317
Practice Address - Fax:407-850-8142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty