Provider Demographics
NPI:1366827438
Name:NEW BEGINNINGS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:971-506-1885
Mailing Address - Street 1:419 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2211
Mailing Address - Country:US
Mailing Address - Phone:971-506-1885
Mailing Address - Fax:503-656-0649
Practice Address - Street 1:419 CENTER ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2211
Practice Address - Country:US
Practice Address - Phone:971-506-1885
Practice Address - Fax:503-656-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3484251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health