Provider Demographics
NPI:1720578636
Name:NEW BEGINNINGS ADDICTION & COUNSELING SERVICES
Entity Type:Organization
Organization Name:NEW BEGINNINGS ADDICTION & COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-454-3570
Mailing Address - Street 1:29328 PERTH ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-4562
Mailing Address - Country:US
Mailing Address - Phone:734-454-3570
Mailing Address - Fax:734-207-5326
Practice Address - Street 1:27677 PROFESSIONAL CENTER DRIVE SUITE 135
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154
Practice Address - Country:US
Practice Address - Phone:734-454-3570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007152101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty