Organization
BOLD BEGINNINGS, LLC
Active
Organization
BOLD BEGINNINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMBRIS BARBOUR (CHIEF EXECUTIVE OFFICER)
(804) 922-2429
Entity
Organization
Contact information
Practice address
9705 INKWOOD DR, FREDERICKSBURG, VA 22407-9344
(804) 922-2429
(540) 301-0357
Mailing address
2407 ARROWOOD RD, MIDLOTHIAN, VA 23112-4040
(804) 922-2429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619413812
LCSW
VA
Enumeration date
04/15/2020
Last updated
10/25/2022
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