Provider Demographics
NPI:1972734564
Name:NEW BEGINNINGS HEALING FOUNDATION
Entity Type:Organization
Organization Name:NEW BEGINNINGS HEALING FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-353-1877
Mailing Address - Street 1:114 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5707
Mailing Address - Country:US
Mailing Address - Phone:910-353-1877
Mailing Address - Fax:
Practice Address - Street 1:114 CENTER ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5707
Practice Address - Country:US
Practice Address - Phone:910-353-1877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management