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General NPI Number Information
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NPI Number | 1407507122
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS THERAPY AND CONSULTING SERVICES
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 2828 KRAFT AVE SE STE 269
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-2076
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Country | US
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Telephone | 313-649-5129
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Fax | 616-512-6104
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Provider Business Mailing Address
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Address Line | 2828 KRAFT AVE SE STE 269
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-2076
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Country | US
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Telephone | 616-500-2090
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Fax | 616-469-2886
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Authorized Official
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Title or Position | CLINICAL THERAPIST/OWNER
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Name | TAMARA SPEARS
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Credential | LMSW
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Telephone | 616-500-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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