Organization
INFINITE BEGINNINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORCAS V SMITH (CEO)
(704) 671-4047
Entity
Organization
Contact information
Practice address
201 W 2ND AVE STE A, GASTONIA, NC 28052-4091
(704) 671-4047
Mailing address
201 W 2ND AVE STE E, GASTONIA, NC 28052-4091
(704) 671-4047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/09/2011
Last updated
11/23/2020
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