Provider Demographics
NPI:1922323096
Name:NEW BEGINNINGS BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH SERVICES
Other - Org Name:THERAPUETIC SERVICES OF ARKANSAS
Other - Org Type:Former Legal Business Name
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:501-663-1837
Mailing Address - Street 1:1 LILE COURT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6240
Mailing Address - Country:US
Mailing Address - Phone:501-663-1837
Mailing Address - Fax:501-663-1839
Practice Address - Street 1:1 LILE COURT
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6240
Practice Address - Country:US
Practice Address - Phone:501-663-1837
Practice Address - Fax:501-663-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR182152526Medicaid