Provider Demographics
NPI:1760559892
Name:CENTER FOR NEW BEGINNINGS
Entity Type:Organization
Organization Name:CENTER FOR NEW BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-444-6465
Mailing Address - Street 1:229 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4100
Mailing Address - Country:US
Mailing Address - Phone:603-444-6465
Mailing Address - Fax:603-444-6233
Practice Address - Street 1:229 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4100
Practice Address - Country:US
Practice Address - Phone:603-444-6465
Practice Address - Fax:603-444-6233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1051693OtherCIGNA GROUP NUMBER
VT39547OtherBCBS OF VT GROUP NUMBER
VT39549OtherBCBS OF VT GROUP NUMBER
VT1006586Medicaid
VT1006586Medicaid