Healthcare Provider Details

I. General information

NPI: 1689891939
Provider Name (Legal Business Name): NEW BEGINNINGS COUNSELING & CONSULTANT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E STATE ST
EAST TAWAS MI
48730-1333
US

IV. Provider business mailing address

640 N REMPERT RD
TAWAS CITY MI
48763-9753
US

V. Phone/Fax

Practice location:
  • Phone: 989-362-7215
  • Fax: 989-362-7207
Mailing address:
  • Phone: 989-362-7215
  • Fax: 989-362-7207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6801058585
License Number StateMI

VIII. Authorized Official

Name: GLORIA J ROULEAU
Title or Position: PRESIDENT & THERAPIST
Credential:
Phone: 989-362-7215