Provider Demographics
NPI:1083906606
Name:NEW BEGINNINGS EMPOWERMENT GROUP
Entity Type:Organization
Organization Name:NEW BEGINNINGS EMPOWERMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-305-3103
Mailing Address - Street 1:2111 MILL RD
Mailing Address - Street 2:SUITE 413
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-5314
Mailing Address - Country:US
Mailing Address - Phone:571-305-3103
Mailing Address - Fax:
Practice Address - Street 1:2111 MILL RD
Practice Address - Street 2:SUITE 413
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5314
Practice Address - Country:US
Practice Address - Phone:571-305-3103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BEGINNINGS EMPOWERMENT GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty