Healthcare Provider Details

I. General information

NPI: 1700298049
Provider Name (Legal Business Name): NEW BEGINNINGS WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 MAIN ST
WORCESTER MA
01603-1801
US

IV. Provider business mailing address

1280 MAIN ST
WORCESTER MA
01603-1801
US

V. Phone/Fax

Practice location:
  • Phone: 508-754-1141
  • Fax: 508-754-1115
Mailing address:
  • Phone: 508-754-1141
  • Fax: 508-754-1115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number7693
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHERRI ANN ALEXANDROVICH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 508-754-1141