Andbtcop Inc

LBN: A New Direction Breaking The Cycle Of Poverty
Andbtcop Inc is an health care organization with primary practice located at 320 1St St N Ste 612 , Jacksonville Beach FL 32250-6947. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. A New Direction Breaking The Cycle Of Poverty can be contacted via phone (334) 647-1009, or through Johnson, Jefkida Lasha via phone (334) 320-0084.

Contact Information

Primary practice address
320 1St St N Ste 612 Jacksonville Beach FL 32250-6947
Phone: (334) 647-1009
Fax: (888) 856-7677
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jefkida Lasha
Phone: (334) 320-0084

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1306104872
LBN Legal business name A New Direction Breaking The Cycle Of Poverty
DBA Doing business as Andbtcop Inc
Authorized official Johnson, Jefkida Lasha
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2012
Last updated Apr 26th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306104872 NPPES
Florida MEDICAID 840832
Florida MEDICAID 241522

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