Provider Demographics
NPI:1205904620
Name:NEW BEGINNINGS OUTPATIENT SERVICES, INC.
Entity type:Organization
Organization Name:NEW BEGINNINGS OUTPATIENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:915-771-0990
Mailing Address - Street 1:6044 GATEWAY BLVD E
Mailing Address - Street 2:STE 610
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2080
Mailing Address - Country:US
Mailing Address - Phone:915-771-0990
Mailing Address - Fax:915-771-0991
Practice Address - Street 1:6044 GATEWAY BLVD E
Practice Address - Street 2:STE 610
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2080
Practice Address - Country:US
Practice Address - Phone:915-771-0990
Practice Address - Fax:915-771-0991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1653-A261QM0801X, 261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX93DLOtherBLUE CROSS & BLUE SHIELD