Provider Demographics
NPI:1346556875
Name:NEW BEGINNINGS PSYCH SERVICES, INC.
Entity Type:Organization
Organization Name:NEW BEGINNINGS PSYCH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNI
Authorized Official - Middle Name:S
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-361-2709
Mailing Address - Street 1:P.O. BOX 423
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-4202
Mailing Address - Country:US
Mailing Address - Phone:813-361-2709
Mailing Address - Fax:
Practice Address - Street 1:2721 BUCKHORN OAKS DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-4202
Practice Address - Country:US
Practice Address - Phone:813-361-2709
Practice Address - Fax:813-685-6267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-22
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty