Wellformed AI

NPI 1013679364 · live from the CMS NPI Registry

A New Dawn, A New Beginning, INC

Social Worker, Clinical in Live Oak, FL. National Provider Identifier 1013679364, active.

NPI record

NPI1013679364 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location10820 Marvin Jones Blvd, Live Oak, FL 32060
Practice phone850-329-5776
Mailing addressPo Box 1726, Perry, FL 32348
EnumeratedOctober 13, 2021
Last updatedOctober 13, 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.