MEDICARE: FRESH BEGINNINGS COUNSELING 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

General Provider Information

NPI Number	:	1962195891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESH BEGINNINGS COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	5901 CADIEUX RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48224-2003
Country	:	US
Telephone Number	:	313-683-5330
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 CADIEUX RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48224-2003
Country	:	US
Telephone Number	:	313-683-5330
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. GWENDOLYN LENETTE PETTWAY
Credential	:	DCC
Telephone Number	:	313-683-5330

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	05/26/2023

Similar Medicare Providers

1932492485 — DR. GWENDOLYN LENETTE PETTWAY LPC
Practice Location Address:

5901 CADIEUX RD
DETROIT, MI
48224-2003

Practice Phone: 313-683-5330
Practice Fax:

1801154943 — PETER RABBIT DAY CARE CENTER INC
Practice Location Address:

5901 CADIEUX RD
DETROIT, MI
48224-2003

Practice Phone: 313-882-7446
Practice Fax:

1962357814 — GARDNER PROPERTY MANAGEMENT INC.
Practice Location Address:

20013 VAUGHAN ST
DETROIT, MI
48219-2003

Practice Phone: 248-885-9016
Practice Fax:

1134234974 — BIO-MEDICAL APPLICATIONS OF MICHIGAN, INC.
Practice Location Address:

5555 CONNER ST , SUITE 2003
DETROIT, MI
48213-3448

Practice Phone: 313-924-0019
Practice Fax:

1366727711 — FAMILY'S R US
Practice Location Address:

2785 E GRAND BLVD
DETROIT, MI
48211-2003

Practice Phone: 313-623-1555
Practice Fax: 313-872-7832

1639550312 — DR. MARCUS D RUSHING M.D.
Practice Location Address:

2785 E GRAND BLVD
DETROIT, MI
48211-2003

Practice Phone: 313-473-9321
Practice Fax:

Directions to “FRESH BEGINNINGS COUNSELING SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.