Healthcare Provider Details

I. General information

NPI: 1497832380
Provider Name (Legal Business Name): NEW BEGINNINGS COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 CRAIG RD STE 102C
CREVE COEUR MO
63141-7122
US

IV. Provider business mailing address

141 E MADISON AVE APT 407
SAINT LOUIS MO
63122-4331
US

V. Phone/Fax

Practice location:
  • Phone: 314-712-1754
  • Fax: 314-828-5163
Mailing address:
  • Phone: 314-712-1754
  • Fax: 314-828-5163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number01685
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number002855
License Number StateMO

VIII. Authorized Official

Name: MR. WILLIAM H KUNTZ
Title or Position: PSYCHOLOGIST
Credential: LIC. PSYCH, LCSW
Phone: 314-712-1754