| New Beginnings Counseling Llc | |
|
2030 Straits Tpke Ste 6 Middlebury CT 06762-1831 | |
| (843) 655-4022 | |
| Not Available |
| Full Name | New Beginnings Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2030 Straits Tpke Ste 6, Middlebury, Connecticut |
| Authorized Official Name and Position | Shannon Norma Nicholson (CLINICIAN) |
| Authorized Official Contact | 8436554022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Counseling Llc 42 Marc Dr Watertown CT 06795-3073 Ph: (843) 655-4022 | New Beginnings Counseling Llc 2030 Straits Tpke Ste 6 Middlebury CT 06762-1831 Ph: (843) 655-4022 |
| NPI Number | 1568094902 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Medicare PECOS PAC ID | 9436575313 |
|---|---|
| Medicare Enrollment ID | O20200824000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568094902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon Norma Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285042200 PECOS PAC ID: 4981020864 Enrollment ID: I20200824000877 |
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