=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386516920
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW BEGINNINGS THERAPEUTIC COUNSELING SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2025
-----------------------------------------------------
Last Update Date | 09/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29 BOSTICK CIR
-----------------------------------------------------
City | BEAUFORT
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29902-5707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-515-1122
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 158
-----------------------------------------------------
City | LYMAN
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29365-0158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-515-1122
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | STACY LEO
-----------------------------------------------------
Credential | LISW-CP
-----------------------------------------------------
Telephone | 864-515-1122
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------