Provider Demographics
NPI:1982067559
Name:NEW BEGINNINGS EMOTIONAL WELLNESS & HOLISTIC THERAPIES
Entity Type:Organization
Organization Name:NEW BEGINNINGS EMOTIONAL WELLNESS & HOLISTIC THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HERPST
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-910-8222
Mailing Address - Street 1:550 SNELLING AVE S
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1564
Mailing Address - Country:US
Mailing Address - Phone:651-340-5191
Mailing Address - Fax:651-340-0804
Practice Address - Street 1:550 SNELLING AVE S
Practice Address - Street 2:SUITE 103
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1564
Practice Address - Country:US
Practice Address - Phone:651-340-5191
Practice Address - Fax:651-340-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN14922251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health