| New Beginning Healing Institute, Llc | |
|
2200 Nw Corporate Blvd Ste 300 Boca Raton FL 33431-7307 | |
| (561) 319-8055 | |
| Not Available |
| Full Name | New Beginning Healing Institute, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2200 Nw Corporate Blvd Ste 300, Boca Raton, Florida |
| Authorized Official Name and Position | Keisha Henry (OWNER/LCSW) |
| Authorized Official Contact | 5613198055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginning Healing Institute, Llc 2200 Nw Corporate Blvd Ste 300 Boca Raton FL 33431-7307 Ph: () - | New Beginning Healing Institute, Llc 2200 Nw Corporate Blvd Ste 300 Boca Raton FL 33431-7307 Ph: (561) 319-8055 |
| NPI Number | 1073081402 |
|---|---|
| Provider Enumeration Date | 11/03/2018 |
| Last Update Date | 11/03/2018 |
| Medicare PECOS PAC ID | 5890036222 |
|---|---|
| Medicare Enrollment ID | O20190411000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073081402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Keisha Dwynette Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811412976 PECOS PAC ID: 5294087888 Enrollment ID: I20190411000844 |
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