Provider Demographics
NPI:1942957436
Name:NEW BEGINNINGS THERAPY & HEALING, INC
Entity Type:Organization
Organization Name:NEW BEGINNINGS THERAPY & HEALING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN AND CLAIMS ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RENFROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-258-6407
Mailing Address - Street 1:12678 PYRAMID PEAK DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-4475
Mailing Address - Country:US
Mailing Address - Phone:609-442-9722
Mailing Address - Fax:719-960-3286
Practice Address - Street 1:685 CITADEL DR E STE 1229016
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5314
Practice Address - Country:US
Practice Address - Phone:719-428-6024
Practice Address - Fax:719-960-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000200819Medicaid