Provider Demographics
NPI:1497832380
Name:NEW BEGINNINGS COUNSELING, INC
Entity Type:Organization
Organization Name:NEW BEGINNINGS COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:KUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LIC PSYCH, LCSW
Authorized Official - Phone:314-647-4695
Mailing Address - Street 1:6500 MARQUETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2133
Mailing Address - Country:US
Mailing Address - Phone:314-647-4695
Mailing Address - Fax:314-647-4695
Practice Address - Street 1:6500 MARQUETTE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-2133
Practice Address - Country:US
Practice Address - Phone:314-647-4695
Practice Address - Fax:314-647-4695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01685103TC1900X
MO0028551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO496729708Medicaid
MO496729708Medicaid