| New Vision Of Life, Llc | |
| 
					2 Laurelwood Dr North Oxford MA 01537-1007  | |
| (508) 502-8787 | |
| Not Available | 
| Full Name | New Vision Of Life, Llc | 
|---|---|
| Speciality | Counselor | 
| Location | 2 Laurelwood Dr, North Oxford, Massachusetts | 
| Authorized Official Name and Position | Maria L Jimenez (PRESIDENT) | 
| Authorized Official Contact | 5085028787 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| New Vision Of Life, Llc 2 Laurelwood Dr North Oxford MA 01537-1007 Ph: (508) 502-8787  | New Vision Of Life, Llc 2 Laurelwood Dr North Oxford MA 01537-1007 Ph: (508) 502-8787  | 
| NPI Number | 1568141661 | 
|---|---|
| Provider Enumeration Date | 07/14/2023 | 
| Last Update Date | 07/14/2023 | 
| Certification Date | 07/14/2023 | 
| Medicare PECOS PAC ID | 3476999541 | 
|---|---|
| Medicare Enrollment ID | O20240312000123 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568141661 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Maria L Jimenez | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1073985297 PECOS PAC ID: 5698111763 Enrollment ID: I20240312000413  | 
French River Education Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 672 Main St, North Oxford, MA 01537 Phone: 508-987-0219  |