Healthcare Provider Details

I. General information

NPI: 1255079364
Provider Name (Legal Business Name): NEW BEGINNINGS THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 E STADIUM BLVD STE 202
ANN ARBOR MI
48104-4803
US

IV. Provider business mailing address

2311 E STADIUM BLVD STE 202
ANN ARBOR MI
48104-4803
US

V. Phone/Fax

Practice location:
  • Phone: 517-250-1031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JUDITH PATANIA
Title or Position: OWNER
Credential:
Phone: 517-250-1031