| New Beginnings Of Southbridge | |
|
146 Ashland Ave Suite B Southbridge MA 01550 | |
| (774) 318-1806 | |
| Not Available |
| Full Name | New Beginnings Of Southbridge |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 146 Ashland Ave Suite B, Southbridge, Massachusetts |
| Authorized Official Name and Position | Samuel W Young (FSS CLINICIAN) |
| Authorized Official Contact | 7743181806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Of Southbridge 146 Ashland Ave Suite B Southbridge MA 01550 Ph: (774) 318-1806 | New Beginnings Of Southbridge 146 Ashland Ave Suite B Southbridge MA 01550 Ph: (774) 318-1806 |
| NPI Number | 1215455829 |
|---|---|
| Provider Enumeration Date | 09/03/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215455829 | NPI | - | NPPES |
| 1186 | Other | MA | LMFT |
| 1186 | Other | MA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1186 (Massachusetts) | Primary |
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