Healthcare Provider Details

I. General information

NPI: 1972234656
Provider Name (Legal Business Name): NEW BEGINNINGS COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2022
Last Update Date: 12/08/2022
Certification Date: 12/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 NEW MARKET VILLAGE BLVD
HENRICO VA
23231-5176
US

IV. Provider business mailing address

2122 NEW MARKET VILLAGE BLVD
HENRICO VA
23231-5176
US

V. Phone/Fax

Practice location:
  • Phone: 203-709-0446
  • Fax:
Mailing address:
  • Phone: 203-709-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ESSENCE SCOTT
Title or Position: CEO/OWNER
Credential: PH.D.
Phone: 203-709-0446