Provider Demographics
NPI:1700900479
Name:NEW BEGINNINGS OF THE SOUTHERN PIEDMONT, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS OF THE SOUTHERN PIEDMONT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:READING
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS
Authorized Official - Phone:704-854-9102
Mailing Address - Street 1:PO BOX 38901
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-1016
Mailing Address - Country:US
Mailing Address - Phone:704-854-9102
Mailing Address - Fax:
Practice Address - Street 1:825 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4256
Practice Address - Country:US
Practice Address - Phone:704-854-9102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC807101Y00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty