Healthcare Provider Details

I. General information

NPI: 1780827576
Provider Name (Legal Business Name): NEW BEGINNINGS TODAY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 04/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 DANNON VW SW STE 3202
ATLANTA GA
30331-2161
US

IV. Provider business mailing address

920 DANNON VW SW STE 3202
ATLANTA GA
30331-2161
US

V. Phone/Fax

Practice location:
  • Phone: 404-346-3471
  • Fax: 404-346-3473
Mailing address:
  • Phone: 404-346-3471
  • Fax: 404-346-3473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLPC003912
License Number StateGA

VIII. Authorized Official

Name: DR. MARCUS J. GREEN
Title or Position: CEO
Credential: ED.D.
Phone: 404-346-3471