Provider Demographics
NPI:1225415029
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:OWNER/ COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMPAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC
Authorized Official - Phone:937-672-8400
Mailing Address - Street 1:PO BOX 750101
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45475-0101
Mailing Address - Country:US
Mailing Address - Phone:937-672-8400
Mailing Address - Fax:937-221-8242
Practice Address - Street 1:8002 MCEWEN RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-2033
Practice Address - Country:US
Practice Address - Phone:937-672-8400
Practice Address - Fax:937-221-8242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH131072101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty