| New Beginnings Counseling Center, Llc | |
|
5930 Seminole Centre Ct Ste C Fitchburg WI 53711-5165 | |
| (608) 630-8889 | |
| (608) 200-7268 |
| Full Name | New Beginnings Counseling Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5930 Seminole Centre Ct Ste C, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Frederick Andre Harris (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6086308889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Counseling Center, Llc 5930 Seminole Centre Ct Ste C Fitchburg WI 53711-5165 Ph: (608) 630-8889 | New Beginnings Counseling Center, Llc 5930 Seminole Centre Ct Ste C Fitchburg WI 53711-5165 Ph: (608) 630-8889 |
| NPI Number | 1386250561 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 8325446420 |
|---|---|
| Medicare Enrollment ID | O20211004002015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386250561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lucas E Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477837607 PECOS PAC ID: 9436432606 Enrollment ID: I20170214000355 |
| Provider Name | Christine M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679965024 PECOS PAC ID: 6103224209 Enrollment ID: I20211004002207 |
| Provider Name | Anthony James Utrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811562739 PECOS PAC ID: 0042677130 Enrollment ID: I20230605003319 |
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