Provider Demographics
NPI:1588954564
Name:NEW FAMILY BEGINNINGS
Entity type:Organization
Organization Name:NEW FAMILY BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KALLI
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MATSUHASHI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:651-882-6234
Mailing Address - Street 1:4660 SLATER RD.
Mailing Address - Street 2:SUITE 245A
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122
Mailing Address - Country:US
Mailing Address - Phone:651-882-6234
Mailing Address - Fax:
Practice Address - Street 1:4660 SLATER RD.
Practice Address - Street 2:SUITE 245A
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122
Practice Address - Country:US
Practice Address - Phone:651-882-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00163101Y00000X
MN2292106H00000X
MN5196103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty