Provider Demographics
NPI:1205974987
Name:NEW BEGINNINGS COUNSELING SERVICES PC
Entity type:Organization
Organization Name:NEW BEGINNINGS COUNSELING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:B
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-438-0038
Mailing Address - Street 1:280 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3590
Mailing Address - Country:US
Mailing Address - Phone:781-438-0038
Mailing Address - Fax:781-438-2398
Practice Address - Street 1:280 MAIN STREET
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3590
Practice Address - Country:US
Practice Address - Phone:781-438-0038
Practice Address - Fax:781-438-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP07450OtherBCBS
MAP08210OtherBCBS
MAP04228OtherBCBS
MA415032OtherVALUE OPTION BCBS
MAP07450OtherBCBS