Provider Demographics
NPI:1598590424
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:BILLING CORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-403-9668
Mailing Address - Street 1:2940 16TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-5541
Mailing Address - Country:US
Mailing Address - Phone:517-403-9668
Mailing Address - Fax:844-904-0923
Practice Address - Street 1:11983 TAMIAMI TRL N STE 152
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1609
Practice Address - Country:US
Practice Address - Phone:517-403-3442
Practice Address - Fax:844-904-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty