Provider Demographics
NPI:1205459682
Name:A NEW BEGINNING THERAPY CENTER, PLLC
Entity type:Organization
Organization Name:A NEW BEGINNING THERAPY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSW, LCSW,LCAS-A/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TENISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCAS-A
Authorized Official - Phone:704-476-9016
Mailing Address - Street 1:216 W DIXON BLVD STE A-1
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-6500
Mailing Address - Country:US
Mailing Address - Phone:704-476-9016
Mailing Address - Fax:980-295-1552
Practice Address - Street 1:216 W DIXON BLVD STE A-1
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-6500
Practice Address - Country:US
Practice Address - Phone:704-476-9016
Practice Address - Fax:980-295-1552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty