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Organization
NEW BEGINNINGS OUTPATIENT THERAPY, LLC
Active
Organization
NEW BEGINNINGS OUTPATIENT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN NICHOLE MCDONOUGH LMSW (OUTPATIENT THERAPIST)
(906) 869-4350
Entity
Organization
Contact information
Practice address
601 E LAKESHORE DR STE 102, MANISTIQUE, MI 49854-1692
(906) 869-4350
Mailing address
601 E LAKESHORE DR STE 102, MANISTIQUE, MI 49854-1692
(906) 869-4350
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/23/2020
Last updated
11/24/2020
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