| New Beginnings Counseling, Llc | |
|
104 Pilgrim Village Dr Suite 300 Cumming GA 30040-9229 | |
| (678) 740-3022 | |
| Not Available |
| Full Name | New Beginnings Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 104 Pilgrim Village Dr, Cumming, Georgia |
| Authorized Official Name and Position | Lisa Ann Sackellares (LCSW) |
| Authorized Official Contact | 6787403022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Counseling, Llc 6195 Harbour Overlook Alpharetta GA 30005-6901 Ph: (678) 740-3022 | New Beginnings Counseling, Llc 104 Pilgrim Village Dr Suite 300 Cumming GA 30040-9229 Ph: (678) 740-3022 |
| NPI Number | 1487196192 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 11/30/2016 |
| Medicare PECOS PAC ID | 7416238969 |
|---|---|
| Medicare Enrollment ID | O20161221001792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487196192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004566 (Georgia) | Primary |
| Provider Name | Lisa A Sackellares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558619833 PECOS PAC ID: 1456504885 Enrollment ID: I20130114000371 |
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