Healthcare Provider Details

I. General information

NPI: 1235357856
Provider Name (Legal Business Name): NEW BEGINNINGS COUNSELING SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 AURORA AVE STE 103E
URBANDALE IA
50322-6338
US

IV. Provider business mailing address

6200 AURORA AVE STE 103E
URBANDALE IA
50322-6338
US

V. Phone/Fax

Practice location:
  • Phone: 515-401-6886
  • Fax:
Mailing address:
  • Phone: 515-401-6886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSIN BREDICE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 515-450-8908