Provider Demographics
NPI:1053089656
Name:NEW BEGINNINGS MENTAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:KRUITHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-629-6393
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:EVART
Mailing Address - State:MI
Mailing Address - Zip Code:49631-0084
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:826 N STATE ST STE C
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1195
Practice Address - Country:US
Practice Address - Phone:231-629-6393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)