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NPI Code Detail

MEDICARE: NEW BEGINNINGS PSYCHOLOGICAL SERVICES PC

MEDICARE: NEW BEGINNINGS PSYCHOLOGICAL SERVICES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist6301009114MI
2104100000XSocial Worker6801084214MI
3104100000XSocial Worker6801058469MI
4103T00000XPsychologist6301010654MI

General Provider Information

NPI Number : 1689727505
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW BEGINNINGS PSYCHOLOGICAL SERVICES PC
Provider Business Mailing Address
First Line : PO BOX 466
Second Line : NEW BEGINNINGS PSYCHOLOGICAL SERVICES
City : MARSHALL
State : MI
Zip : 49068
Country : US
Telephone Number : 517-279-8866
Fax Number : 517-924-1816
Provider Business Practice Location Address
First Line : 694 W CHICAGO RD
Second Line :
City : COLDWATER
State : MI
Zip : 49036-8405
Country : US
Telephone Number : 517-279-8866
Fax Number : 517-924-1816
Authorized Official
Title or Position : OFFICE MANAGER
Name : AMY KENWORTHY
Credential :
Telephone Number : 517-279-8866
Provider Enumeration Date : 01/22/2007
Last Update Date : 11/19/2025

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Directions to “NEW BEGINNINGS PSYCHOLOGICAL SERVICES PC ” Practice Location

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