Provider Demographics
NPI:1437748142
Name:NEW BEGINNINGS BEHAVIORAL HEALTH CO
Entity Type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-281-5171
Mailing Address - Street 1:449 PAINT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-5803
Mailing Address - Country:US
Mailing Address - Phone:865-281-5171
Mailing Address - Fax:865-249-8724
Practice Address - Street 1:449 PAINT ROCK RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-5803
Practice Address - Country:US
Practice Address - Phone:865-281-5171
Practice Address - Fax:865-249-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)