Provider Demographics
NPI:1164571659
Name:NEW BEGINNINGS CLINICAL SERVICES, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCLENDON
Authorized Official - Suffix:
Authorized Official - Credentials:CMFSW, LCSW, BCD
Authorized Official - Phone:404-601-2894
Mailing Address - Street 1:4480 S COBB DR SE
Mailing Address - Street 2:STE. H PMB #180
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6990
Mailing Address - Country:US
Mailing Address - Phone:404-601-2894
Mailing Address - Fax:404-601-2896
Practice Address - Street 1:3399 PEACHTREE RD NE
Practice Address - Street 2:SUITE 400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1120
Practice Address - Country:US
Practice Address - Phone:404-601-2894
Practice Address - Fax:404-601-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1841285285Medicaid
GA1841285285Medicare UPIN
GA1841285285Medicare ID - Type Unspecified