Provider Demographics
NPI:1851853188
Name:NEW BEGINNINGS COUNSELING AGENCY
Entity Type:Organization
Organization Name:NEW BEGINNINGS COUNSELING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TALESHEA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-841-8669
Mailing Address - Street 1:6216 S LEWIS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1017
Mailing Address - Country:US
Mailing Address - Phone:918-841-8669
Mailing Address - Fax:
Practice Address - Street 1:6216 S LEWIS AVE STE 103
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1017
Practice Address - Country:US
Practice Address - Phone:918-841-8669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health