Organization
A NEW BEGINNING COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA NICOLE MANSUROV MA, LMHC, SOTP (OWNER/THERAPIST)
(425) 298-6223
Entity
Organization
Contact information
Practice address
11415 NE 128TH ST STE 100, KIRKLAND, WA 98034-6314
(425) 298-6223
Mailing address
16541 REDMOND WAY # 501C, REDMOND, WA 98052-4492
(425) 298-6223
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
FC 60206027
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LH 60184919
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039799
—
WA
Enumeration date
01/05/2015
Last updated
01/05/2015
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