Provider Demographics
NPI:1689907925
Name:NEW BEGINNING COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:NEW BEGINNING COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AYESHA
Authorized Official - Middle Name:RAZIA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-358-5901
Mailing Address - Street 1:3 UNION PLAZA 205 NORTH MAIN
Mailing Address - Street 2:STREET
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27573-5369
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1121 SLATEWORTH DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6182
Practice Address - Country:US
Practice Address - Phone:919-358-5901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health