Provider Demographics
NPI:1225373475
Name:NEW BEGINNING THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:NEW BEGINNING THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:SAMIR
Authorized Official - Last Name:CHEBLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-708-8215
Mailing Address - Street 1:420 S WAVERLY RD
Mailing Address - Street 2:STE 4
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3632
Mailing Address - Country:US
Mailing Address - Phone:517-708-8215
Mailing Address - Fax:517-708-8223
Practice Address - Street 1:420 S WAVERLY RD
Practice Address - Street 2:STE 4
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-3632
Practice Address - Country:US
Practice Address - Phone:517-708-8215
Practice Address - Fax:517-708-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010857901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty