Provider Demographics
NPI:1871036111
Name:NEW BEGINNINGS BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIRIE
Authorized Official - Middle Name:LEDDELLE
Authorized Official - Last Name:BAZZELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-519-1415
Mailing Address - Street 1:402 N. MAIN ST #3
Mailing Address - Street 2:
Mailing Address - City:RISON
Mailing Address - State:AR
Mailing Address - Zip Code:71665
Mailing Address - Country:US
Mailing Address - Phone:870-325-6024
Mailing Address - Fax:
Practice Address - Street 1:402 N. MAIN ST #3
Practice Address - Street 2:
Practice Address - City:RISON
Practice Address - State:AR
Practice Address - Zip Code:71665
Practice Address - Country:US
Practice Address - Phone:870-325-6024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BEGINNINGS BEHAVIORAL HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-18
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR215665526Medicaid