Provider Demographics
NPI:1871374348
Name:NEW BEGINNINGS COUNSELING SERVICES LCSW PC
Entity type:Organization
Organization Name:NEW BEGINNINGS COUNSELING SERVICES LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ELLIOTT-GILROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-413-7197
Mailing Address - Street 1:1905 ROUTE 112 UNIT 1013
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-6039
Mailing Address - Country:US
Mailing Address - Phone:631-933-9434
Mailing Address - Fax:
Practice Address - Street 1:119B LA BONNE VIE DR # B
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4300
Practice Address - Country:US
Practice Address - Phone:631-413-7197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty