Provider Demographics
NPI:1891001731
Name:NEW BEGINNINGSMINISTRIES OF LAWRENCEVILLE
Entity Type:Organization
Organization Name:NEW BEGINNINGSMINISTRIES OF LAWRENCEVILLE
Other - Org Name:NEW BEGINNINGS COUNSELING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCWHORTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN CCMFT
Authorized Official - Phone:770-831-1799
Mailing Address - Street 1:PO BOX 464757
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30042-4757
Mailing Address - Country:US
Mailing Address - Phone:770-831-1799
Mailing Address - Fax:770-963-0650
Practice Address - Street 1:1585 OLD NORCROSS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4055
Practice Address - Country:US
Practice Address - Phone:770-831-1799
Practice Address - Fax:770-963-0650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIACCP0021101YP1600X
GALPC003945101YP2500X
GAAPC002694101YP2500X
GARN035504163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty