Provider Demographics
NPI:1548918097
Name:NEW BEGINNINGS FAMILY HEALTHCARE, PLLC
Entity type:Organization
Organization Name:NEW BEGINNINGS FAMILY HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:601-898-4422
Mailing Address - Street 1:3425 N LIBERTY ST STE B
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-3761
Mailing Address - Country:US
Mailing Address - Phone:601-898-4422
Mailing Address - Fax:601-898-4423
Practice Address - Street 1:3425 N LIBERTY ST STE B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-3761
Practice Address - Country:US
Practice Address - Phone:601-741-5114
Practice Address - Fax:601-667-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02327202Medicaid