MEDICARE: NEW BEGINNINGS: A NEW START LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1942195789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS: A NEW START LLC

Provider Business Mailing Address
First Line	:	4668 AUDREY DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-6844
Country	:	US
Telephone Number	:	336-337-5850
Fax Number	:

Provider Business Practice Location Address
First Line	:	4668 AUDREY DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-6844
Country	:	US
Telephone Number	:	336-337-5850
Fax Number	:

Authorized Official
Title or Position	:	OWNER/EXECUTIVE DIRECTOR
Name	:	SHIRINNETTA NYCOLE MUMFORD
Credential	:
Telephone Number	:	336-337-5850

Provider Enumeration Date	:	06/11/2025
Last Update Date	:	04/13/2026

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Directions to “NEW BEGINNINGS: A NEW START LLC ” Practice Location

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