Provider Demographics
NPI:1972808954
Name:NEW BEGINNINGS COUNSELING SERVICE, LLC
Entity type:Organization
Organization Name:NEW BEGINNINGS COUNSELING SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BREDICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-450-8908
Mailing Address - Street 1:6200 AURORA AVE STE 103E
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-6338
Mailing Address - Country:US
Mailing Address - Phone:515-401-6886
Mailing Address - Fax:515-883-2692
Practice Address - Street 1:6200 AURORA AVE STE 103E
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-6338
Practice Address - Country:US
Practice Address - Phone:515-401-6886
Practice Address - Fax:515-883-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty