Healthcare Provider Details

I. General information

NPI: 1477318343
Provider Name (Legal Business Name): NEW BEGINNINGS RELATIONSHIP COACHING AND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MAPLE ST STE 102
NORTHBOROUGH MA
01532-1647
US

IV. Provider business mailing address

6 MAPLE ST STE 102
NORTHBOROUGH MA
01532-1647
US

V. Phone/Fax

Practice location:
  • Phone: 508-735-5374
  • Fax:
Mailing address:
  • Phone: 508-735-5374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: KAREN LANDRY
Title or Position: OWNER OPERATOR
Credential:
Phone: 508-735-5374