| Bold Beginnings, Llc | |
|
9705 Inkwood Dr Fredericksburg VA 22407-9344 | |
| (804) 922-2429 | |
| (540) 301-0357 |
| Full Name | Bold Beginnings, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9705 Inkwood Dr, Fredericksburg, Virginia |
| Authorized Official Name and Position | Dembris Barbour (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8049222429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bold Beginnings, Llc 2407 Arrowood Rd Midlothian VA 23112-4040 Ph: (804) 922-2429 | Bold Beginnings, Llc 9705 Inkwood Dr Fredericksburg VA 22407-9344 Ph: (804) 922-2429 |
| NPI Number | 1922627298 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922627298 | NPI | - | NPPES |
| 1619413812 | Other | VA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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