Provider Demographics
NPI:1538623608
Name:NEW BEGINNINGS PSYCHOTHERAPY
Entity type:Organization
Organization Name:NEW BEGINNINGS PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:CHAMNESS
Authorized Official - Last Name:RUSSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MSA, MA, LLP
Authorized Official - Phone:616-219-8286
Mailing Address - Street 1:205 W 29TH ST STE 10
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-6973
Mailing Address - Country:US
Mailing Address - Phone:616-219-8286
Mailing Address - Fax:
Practice Address - Street 1:205 W 29TH ST STE 10
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-6973
Practice Address - Country:US
Practice Address - Phone:616-219-8286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health