Provider Demographics
NPI:1700908597
Name:NEW BEGINNINGS COUNSELING CENTER, PSC
Entity Type:Organization
Organization Name:NEW BEGINNINGS COUNSELING CENTER, PSC
Other - Org Name:JOHN M JOY LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:859-277-2322
Mailing Address - Street 1:828 LANE ALLEN ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3659
Mailing Address - Country:US
Mailing Address - Phone:859-277-2322
Mailing Address - Fax:859-277-0709
Practice Address - Street 1:828 LANE ALLEN ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3659
Practice Address - Country:US
Practice Address - Phone:859-277-2322
Practice Address - Fax:859-277-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY4541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCSW0055Medicare ID - Type Unspecified