Healthcare Provider Details

I. General information

NPI: 1235913278
Provider Name (Legal Business Name): NEW BEGINNINGS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6497 PARKLAND DR STE A
SARASOTA FL
34243-4097
US

IV. Provider business mailing address

3161 57TH AVENUE CIR E
BRADENTON FL
34203-5332
US

V. Phone/Fax

Practice location:
  • Phone: 941-799-1976
  • Fax:
Mailing address:
  • Phone: 941-799-1976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELLY K MCCORMICK
Title or Position: CEO
Credential: LMHC
Phone: 941-799-1976