# NEW BEGINNINGS OF SOUTHBRIDGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215455829
- **Authorized official:** DR. SAMUEL W YOUNG DMIN (FSS CLINICIAN)
- **Authorized official phone:** (774) 318-1806

## Contact information

- **Practice address:** 146 ASHLAND AVE SUITE B, SOUTHBRIDGE, MA 01550
- **Practice address phone:** (774) 318-1806
- **Mailing address:** 146 ASHLAND AVE SUITE B, SOUTHBRIDGE, MA 01550
- **Mailing address phone:** (774) 318-1806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1186 | MA | Yes |

## Other

- **Enumeration date:** 09/03/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1186 | LICENSE | MA |