Provider Demographics
NPI:1538408547
Name:NEW BEGINNINGS THERAPEUTIC SERVICES INCORPORATED
Entity type:Organization
Organization Name:NEW BEGINNINGS THERAPEUTIC SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTHTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:TORRELLE
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:850-274-4781
Mailing Address - Street 1:4210 RIDGE HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305-1446
Mailing Address - Country:US
Mailing Address - Phone:850-274-4781
Mailing Address - Fax:
Practice Address - Street 1:4210 RIDGE HAVEN RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-1446
Practice Address - Country:US
Practice Address - Phone:850-274-4781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health