Provider Demographics
NPI:1184045650
Name:ANEW BEGINNING FAMILY NETWORK LLC
Entity Type:Organization
Organization Name:ANEW BEGINNING FAMILY NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS-A
Authorized Official - Phone:336-813-2351
Mailing Address - Street 1:169 YADKIN VALLEY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ADVANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27006-8787
Mailing Address - Country:US
Mailing Address - Phone:336-941-9090
Mailing Address - Fax:336-941-9066
Practice Address - Street 1:169 YADKIN VALLEY RD STE 101
Practice Address - Street 2:
Practice Address - City:ADVANCE
Practice Address - State:NC
Practice Address - Zip Code:27006-8787
Practice Address - Country:US
Practice Address - Phone:336-941-9090
Practice Address - Fax:336-941-9066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2014-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health