Provider Demographics
NPI:1235996299
Name:SECURE BEGINNINGS, LLC
Entity Type:Organization
Organization Name:SECURE BEGINNINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:APSW
Authorized Official - Phone:262-901-5881
Mailing Address - Street 1:N52W35634 W LAKE DR
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-3205
Mailing Address - Country:US
Mailing Address - Phone:262-901-5881
Mailing Address - Fax:
Practice Address - Street 1:N52W35634 W LAKE DR
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-3205
Practice Address - Country:US
Practice Address - Phone:262-901-5881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health