| New Beginnings Fresh Start Counseling Group Llc | |
|
5007 Cherry Blossom Cir West Bloomfield MI 48324-4008 | |
| (248) 469-0954 | |
| Not Available |
| Full Name | New Beginnings Fresh Start Counseling Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 5007 Cherry Blossom Cir, West Bloomfield, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Fresh Start Counseling Group Llc Po Box 10 Mason MI 48854-0010 Ph: () - | New Beginnings Fresh Start Counseling Group Llc 5007 Cherry Blossom Cir West Bloomfield MI 48324-4008 Ph: (248) 469-0954 |
| NPI Number | 1740736420 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 10/29/2023 |
| Certification Date | 10/29/2023 |
| Medicare PECOS PAC ID | 7517318223 |
|---|---|
| Medicare Enrollment ID | O20240108000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740736420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Saudia Lewan Twine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649649583 PECOS PAC ID: 8426409137 Enrollment ID: I20240108000424 |
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