Organization Name: | NEW DIRECTIONS THERAPY AND LEARNING CENTER |
NPI Number: | 1144695644 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA MOUSSEAU (DIRECTOR) |
Mailing Address: | 1900 Highway 87 Suite G Navarre |
State: | FL US |
Postal Code: | 325661061 |
Phone Number: | 8507103702 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2015 |
NPI Last Update Date: | 12/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW11592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |