Provider Demographics
NPI:1841667680
Name:BEGIN WITHIN SUPPORT SERVICES, LLC
Entity type:Organization
Organization Name:BEGIN WITHIN SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VENECIA
Authorized Official - Middle Name:WYNNE
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:334-531-6837
Mailing Address - Street 1:475 BELLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DEATSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36022-3118
Mailing Address - Country:US
Mailing Address - Phone:334-531-6837
Mailing Address - Fax:334-460-1729
Practice Address - Street 1:475 BELLVIEW DR
Practice Address - Street 2:
Practice Address - City:DEATSVILLE
Practice Address - State:AL
Practice Address - Zip Code:36022-3118
Practice Address - Country:US
Practice Address - Phone:334-531-6837
Practice Address - Fax:334-460-1729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty