Provider Demographics
NPI:1386250561
Name:NEW BEGINNINGS COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:NEW BEGINNINGS COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, SAC
Authorized Official - Phone:608-630-8889
Mailing Address - Street 1:5930 SEMINOLE CENTRE CT STE C
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-5165
Mailing Address - Country:US
Mailing Address - Phone:608-630-8889
Mailing Address - Fax:608-200-7268
Practice Address - Street 1:5930 SEMINOLE CENTRE CT STE C
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-5165
Practice Address - Country:US
Practice Address - Phone:608-630-8889
Practice Address - Fax:608-200-7268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)