Provider Demographics
NPI:1295358075
Name:NEW BEGINNINGS THERAPY AND HEALING, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS THERAPY AND HEALING, LLC
Other - Org Name:NEW BEGINNINGS THERAPY AND HEALING, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:RENFROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-415-3558
Mailing Address - Street 1:12611 LONGVIEW PARK LN
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-6998
Mailing Address - Country:US
Mailing Address - Phone:609-442-9722
Mailing Address - Fax:719-960-3286
Practice Address - Street 1:1755 TELSTAR DR FL 3
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1016
Practice Address - Country:US
Practice Address - Phone:719-428-6024
Practice Address - Fax:719-960-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2021-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty