Organization Name: | BEGIN WITHIN SUPPORT SERVICES, LLC |
NPI Number: | 1841667680 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VENECIA WYNNE HUBBARD (CEO/MENTAL HEALTH COUNSELOR) |
Mailing Address: | 475 Bellview Dr Deatsville |
State: | AL US |
Postal Code: | 360223118 |
Phone Number: | 3345316837 |
Fax Number: | 3344601729 |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |