Healthcare Provider Details

I. General information

NPI: 1942957436
Provider Name (Legal Business Name): NEW BEGINNINGS THERAPY & HEALING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2022
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 CITADEL DR E STE 325
COLORADO SPRINGS CO
80909-5326
US

IV. Provider business mailing address

685 CITADEL DR E STE 325
COLORADO SPRINGS CO
80909-5326
US

V. Phone/Fax

Practice location:
  • Phone: 719-428-6024
  • Fax: 719-960-3286
Mailing address:
  • Phone: 719-428-6024
  • Fax: 719-960-3286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRENDA J RENFROE
Title or Position: ADMIN AND CLAIMS ADMIN
Credential:
Phone: 513-258-6407