Provider Demographics
NPI:1518463470
Name:A NEW START LLC
Entity Type:Organization
Organization Name:A NEW START LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-521-5253
Mailing Address - Street 1:22 NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:HOUITON
Mailing Address - State:ME
Mailing Address - Zip Code:04730
Mailing Address - Country:US
Mailing Address - Phone:207-551-3061
Mailing Address - Fax:207-692-1129
Practice Address - Street 1:22 NORTH STREET
Practice Address - Street 2:
Practice Address - City:HOUITON
Practice Address - State:ME
Practice Address - Zip Code:04730
Practice Address - Country:US
Practice Address - Phone:207-521-5253
Practice Address - Fax:207-692-1129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-31
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty