Provider Demographics
NPI:1174226369
Name:YOUR NEW BEGINNING COUNSELING & FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:YOUR NEW BEGINNING COUNSELING & FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:254-213-0909
Mailing Address - Street 1:3101 COURTNEY LN STE B
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-8519
Mailing Address - Country:US
Mailing Address - Phone:254-213-0909
Mailing Address - Fax:877-789-7248
Practice Address - Street 1:3101 COURTNEY LN STE B
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-8519
Practice Address - Country:US
Practice Address - Phone:254-213-0909
Practice Address - Fax:877-789-7248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty