| New Beginnings Mental Health Services, Llc | |
|
826 N State St Ste C Big Rapids MI 49307-1195 | |
| (231) 629-6393 | |
| Not Available |
| Full Name | New Beginnings Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 826 N State St Ste C, Big Rapids, Michigan |
| Authorized Official Name and Position | Mary Dawn Kruithoff (OWNER) |
| Authorized Official Contact | 2316296393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Mental Health Services, Llc Po Box 84 Evart MI 49631-0084 Ph: () - | New Beginnings Mental Health Services, Llc 826 N State St Ste C Big Rapids MI 49307-1195 Ph: (231) 629-6393 |
| NPI Number | 1053089656 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 9234505223 |
|---|---|
| Medicare Enrollment ID | O20221017000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053089656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mary D Kruithoff |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1518277532 PECOS PAC ID: 2062765605 Enrollment ID: I20181029000273 |
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