Healthcare Provider Details

I. General information

NPI: 1609423813
Provider Name (Legal Business Name): NU BEGINNING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 NORTH MAIN STREET
SMYRNA DE
19977
US

IV. Provider business mailing address

402 FOULK RD APT 2C3
WILMINGTON DE
19803-5805
US

V. Phone/Fax

Practice location:
  • Phone: 617-314-2322
  • Fax:
Mailing address:
  • Phone: 617-314-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ELSA J SMITH
Title or Position: FOUNDER/CEO
Credential: LCSW
Phone: 617-314-2322