Organization
A NEW BEGINNING FOR FAMILIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BRANNON LPC (CEO)
(678) 234-2930
Entity
Organization
Contact information
Practice address
500 LANIER AVE W STE AOFFICE7, FAYETTEVILLE, GA 30214-7636
(770) 719-5467
(770) 719-5468
Mailing address
134 N ALEXANDER CREEK RD, NEWNAN, GA 30263-3577
(678) 234-2930
(770) 719-5468
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176179A
—
GA
Enumeration date
04/05/2019
Last updated
04/05/2019
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