| New Beginnings Behavioral Counseling,llc | |
|
9456 S Main St Ste E2 Jonesboro GA 30236 | |
| (229) 726-6130 | |
| (678) 759-8029 |
| Full Name | New Beginnings Behavioral Counseling,llc |
|---|---|
| Speciality | Social Worker |
| Location | 9456 S Main St Ste E2, Jonesboro, Georgia |
| Authorized Official Name and Position | Carla Denise Potts (OWNER) |
| Authorized Official Contact | 2297266130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Behavioral Counseling,llc P. O. Box 681 Love Joy GA 30250-9998 Ph: (229) 449-8977 | New Beginnings Behavioral Counseling,llc 9456 S Main St Ste E2 Jonesboro GA 30236 Ph: (229) 726-6130 |
| NPI Number | 1639609555 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 03/29/2024 |
| Certification Date | 09/19/2021 |
| Medicare PECOS PAC ID | 0446521355 |
|---|---|
| Medicare Enrollment ID | O20170810000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639609555 | NPI | - | NPPES |
| 1639609555 | Medicaid | GA | |
| 1932464658 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005991 (Georgia) | Primary |
| Provider Name | Carla Denise Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932464658 PECOS PAC ID: 1355612268 Enrollment ID: I20170810000734 |
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