Provider Demographics
NPI:1780041343
Name:NEW BEGINNINGS BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-268-2891
Mailing Address - Street 1:4410 CLAIBORNE SQ E
Mailing Address - Street 2:ST 334
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2071
Mailing Address - Country:US
Mailing Address - Phone:757-268-2891
Mailing Address - Fax:855-898-1313
Practice Address - Street 1:4410 CLAIBORNE SQ E
Practice Address - Street 2:ST 334
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2071
Practice Address - Country:US
Practice Address - Phone:757-268-2891
Practice Address - Fax:855-898-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904002584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1508015124OtherCIGNA
VA1508015124OtherOPTIMA
VA1508015124Medicaid
VA1508015124OtherVA PREMIER
VA1508015124OtherANTHEM EAP
VA1508015124OtherANTHEM BC BS
VA1508015124OtherMAGELLAN
VA1508015124OtherAETNA
VA1508015124OtherVALUE OPTIONS
VA1508015124OtherTRICARE
VA1508015124OtherUNITED HEALTH CARE
VA1508015124OtherMILITARY ONE SOURCE
VA1508015124OtherANTHEM HEALTH KEEPERS
VA1508015124OtherCOMPSYCH
VA1508015124OtherCOMPSYCH