Provider Demographics
NPI:1619467735
Name:ANEW BEGINNING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ANEW BEGINNING SOLUTIONS, LLC
Other - Org Name:ANEW BEGINNING SOLUTIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRACLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-826-9947
Mailing Address - Street 1:316 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39180-8394
Mailing Address - Country:US
Mailing Address - Phone:601-826-9947
Mailing Address - Fax:
Practice Address - Street 1:136 HONEYSUCKLE LN
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39183-3454
Practice Address - Country:US
Practice Address - Phone:601-826-9947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1951101YP2500X
6231101YP2500X
GA009599101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08532364OtherMIRACLE PAIGE
MS1730586173OtherMIRACLE MITCHELL