Provider Demographics
NPI:1245687375
Name:NEW BEGINNINGS BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZZELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-663-1837
Mailing Address - Street 1:7107 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-2404
Mailing Address - Country:US
Mailing Address - Phone:501-812-3647
Mailing Address - Fax:
Practice Address - Street 1:7107 W 12TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-2404
Practice Address - Country:US
Practice Address - Phone:501-812-3647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR=========6Medicaid