Provider Demographics
NPI:1417474859
Name:NEW BEGINNINGS COUNSELING AND SUPPORT SERVICES
Entity Type:Organization
Organization Name:NEW BEGINNINGS COUNSELING AND SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LE ANNE
Authorized Official - Last Name:BEIDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:208-746-7661
Mailing Address - Street 1:1002 IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-1938
Mailing Address - Country:US
Mailing Address - Phone:208-746-7661
Mailing Address - Fax:208-746-0811
Practice Address - Street 1:1002 IDAHO ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-1938
Practice Address - Country:US
Practice Address - Phone:208-746-7661
Practice Address - Fax:208-746-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW36870251S00000X, 261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities