Wellformed AI

NPI 1003588187 · live from the CMS NPI Registry

A New Dawn, A New Beginning, INC

Social Worker, Clinical in Mayo, FL. National Provider Identifier 1003588187, active.

NPI record

NPI1003588187 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location117 Sw Virginia Cir, Mayo, FL 32066
Practice phone850-329-5776
Mailing addressPo Box 1726, Perry, FL 32348
EnumeratedSeptember 28, 2021
Last updatedSeptember 28, 2021
Authorized officialDawna Haswell, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.