Healthcare Provider Details

I. General information

NPI: 1669398152
Provider Name (Legal Business Name): NEW BEGINNINGS RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15370 NINEBARK CT APT 314
COLORADO SPRINGS CO
80921-2650
US

IV. Provider business mailing address

15370 NINEBARK CT APT 314
COLORADO SPRINGS CO
80921-2650
US

V. Phone/Fax

Practice location:
  • Phone: 720-208-3192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR DISTEL
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 720-208-3192