Provider Demographics
NPI:1346580396
Name:NEW BEGINNINGS COUNSELING SERVICES AND SOLUTIONS PLLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS COUNSELING SERVICES AND SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, BSW
Authorized Official - Phone:313-505-5977
Mailing Address - Street 1:9392 ARTESIAN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-1706
Mailing Address - Country:US
Mailing Address - Phone:313-505-5977
Mailing Address - Fax:
Practice Address - Street 1:42928 VERSAILLES RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2344
Practice Address - Country:US
Practice Address - Phone:734-414-0754
Practice Address - Fax:734-414-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801066912104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11548708OtherCAQH
6801066912OtherLICENSE