Provider Demographics
NPI:1114780301
Name:NEW BEGINNINGS HEALTH AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS HEALTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-844-3503
Mailing Address - Street 1:134 MALAUKA LOOP
Mailing Address - Street 2:
Mailing Address - City:OCKLAWAHA
Mailing Address - State:FL
Mailing Address - Zip Code:32179-6219
Mailing Address - Country:US
Mailing Address - Phone:352-844-3503
Mailing Address - Fax:407-990-1904
Practice Address - Street 1:134 MALAUKA LOOP
Practice Address - Street 2:
Practice Address - City:OCKLAWAHA
Practice Address - State:FL
Practice Address - Zip Code:32179-6219
Practice Address - Country:US
Practice Address - Phone:352-844-3503
Practice Address - Fax:407-990-1904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty