MEDICARE: NEW BEGINNINGS MENTAL HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		IA

General Provider Information

NPI Number	:	1376783258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS MENTAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	834 AVENUE D
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-2836
Country	:	US
Telephone Number	:	319-371-9376
Fax Number	:

Provider Business Practice Location Address
First Line	:	834 AVENUE D
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-2836
Country	:	US
Telephone Number	:	319-371-9376
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MR. MICHAEL J PIERCE
Credential	:	M.S.E. COUNSELING
Telephone Number	:	319-371-9376

Provider Enumeration Date	:	03/04/2009
Last Update Date	:	03/04/2009

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