Provider Demographics
NPI:1194183046
Name:NEW BEGINNINGS THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:NEW BEGINNINGS THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, LCDC III
Authorized Official - Phone:937-270-9190
Mailing Address - Street 1:611 WHITE CLOVER CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45315-7734
Mailing Address - Country:US
Mailing Address - Phone:937-270-9190
Mailing Address - Fax:
Practice Address - Street 1:611 WHITE CLOVER CT
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45315-7734
Practice Address - Country:US
Practice Address - Phone:937-270-9190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-07
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0031386251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health