New Life 360 Inc.

LBN: New Life 360 Inc.
New Life 360 Inc. is an health care organization with primary practice located at 1047 E Brandon Blvd , Brandon FL 33511-5515. The organization recently has 5 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / VA. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. New Life 360 Inc. can be contacted via phone (813) 548-1166, or through Bradley, Sherry via phone (734) 658-5055.

Contact Information

Primary practice address
1047 E Brandon Blvd Brandon FL 33511-5515
Phone: (813) 548-1166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Sherry LCSW, MCAP
Phone: (734) 658-5055

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / VA 261QV0200X

Profile Details

NPI number 1194205542
LBN Legal business name New Life 360 Inc.
DBA Doing business as
Authorized official Bradley, Sherry LCSW, MCAP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2018
Last updated Oct 30th, 2019 - about 5 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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