Provider Demographics
NPI:1871719146
Name:A NEW BEGINNING WITH ADVANTAGES
Entity type:Organization
Organization Name:A NEW BEGINNING WITH ADVANTAGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BENOIT
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:360-598-3929
Mailing Address - Street 1:19950 7TH AVE NE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7405
Mailing Address - Country:US
Mailing Address - Phone:360-598-3929
Mailing Address - Fax:
Practice Address - Street 1:19950 7TH AVE NE
Practice Address - Street 2:SUITE 201
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7405
Practice Address - Country:US
Practice Address - Phone:360-598-3929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health