Healthcare Provider Details

I. General information

NPI: 1124225669
Provider Name (Legal Business Name): A NEW BEGINNING OUTPATIENT TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 N MILLER RD 251
SCOTTSDALE AZ
85251-3619
US

IV. Provider business mailing address

4300 N MILLER RD 251
SCOTTSDALE AZ
85251-3619
US

V. Phone/Fax

Practice location:
  • Phone: 480-941-4247
  • Fax: 480-941-4010
Mailing address:
  • Phone: 480-941-4247
  • Fax: 480-941-4010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2099
License Number StateAZ

VIII. Authorized Official

Name: DR. JULIE T. ANNE
Title or Position: CLINICAL DIRECTOR
Credential: PH.D.
Phone: 480-941-4247