| New Beginnings Outpatient Therapy, Llc | |
|
601 E Lakeshore Dr Ste 102 Manistique MI 49854-1692 | |
| (906) 869-4350 | |
| Not Available |
| Full Name | New Beginnings Outpatient Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 E Lakeshore Dr Ste 102, Manistique, Michigan |
| Authorized Official Name and Position | Austin Nichole Mcdonough (OUTPATIENT THERAPIST) |
| Authorized Official Contact | 9068694350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Outpatient Therapy, Llc 601 E Lakeshore Dr Ste 102 Manistique MI 49854-1692 Ph: (906) 869-4350 | New Beginnings Outpatient Therapy, Llc 601 E Lakeshore Dr Ste 102 Manistique MI 49854-1692 Ph: (906) 869-4350 |
| NPI Number | 1346859642 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Medicare PECOS PAC ID | 0446663033 |
|---|---|
| Medicare Enrollment ID | O20201228000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346859642 | NPI | - | NPPES |
| Provider Name | Austin Mcdonough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558544213 PECOS PAC ID: 3072947936 Enrollment ID: I20191231000491 |
| Provider Name | Kellie Marie Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285139642 PECOS PAC ID: 8820409121 Enrollment ID: I20201228000671 |
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