Provider Demographics
NPI:1942195789
Name:NEW BEGINNINGS: A NEW START LLC
Entity type:Organization
Organization Name:NEW BEGINNINGS: A NEW START LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRINNETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUMFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-337-5850
Mailing Address - Street 1:4668 AUDREY DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-6844
Mailing Address - Country:US
Mailing Address - Phone:336-337-5850
Mailing Address - Fax:
Practice Address - Street 1:4668 AUDREY DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-6844
Practice Address - Country:US
Practice Address - Phone:336-337-5850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities