Provider Demographics
NPI:1790006435
Name:NEW BEGINNINGS COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:NEW BEGINNINGS COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRENIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-201-7056
Mailing Address - Street 1:5440 EXECUTIVE PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-4145
Mailing Address - Country:US
Mailing Address - Phone:601-201-7056
Mailing Address - Fax:601-201-7056
Practice Address - Street 1:5440 EXECUTIVE PL
Practice Address - Street 2:SUITE B
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-4145
Practice Address - Country:US
Practice Address - Phone:601-201-7056
Practice Address - Fax:601-201-7056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC52261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty