Healthcare Provider Details

I. General information

NPI: 1407507122
Provider Name (Legal Business Name): NEW BEGINNINGS THERAPY AND CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 KRAFT AVE SE STE 269
GRAND RAPIDS MI
49512-2076
US

IV. Provider business mailing address

2828 KRAFT AVE SE STE 269
GRAND RAPIDS MI
49512-2076
US

V. Phone/Fax

Practice location:
  • Phone: 313-649-5129
  • Fax: 616-512-6104
Mailing address:
  • Phone: 616-500-2090
  • Fax: 616-469-2886

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: TAMARA SPEARS
Title or Position: CLINICAL THERAPIST/OWNER
Credential: LMSW
Phone: 616-500-2090