Healthcare Provider Details

I. General information

NPI: 1427771682
Provider Name (Legal Business Name): NEW BEGINNING THERAPY CENTER, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 W 62ND ST
HIALEAH FL
33016-2678
US

IV. Provider business mailing address

2023 W 62ND ST
HIALEAH FL
33016-2678
US

V. Phone/Fax

Practice location:
  • Phone: 786-399-3141
  • Fax: 786-431-5891
Mailing address:
  • Phone: 786-536-4399
  • Fax: 786-431-5891

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

VIII. Authorized Official

Name: DANAE MORA
Title or Position: PRESIDENT
Credential: OTR
Phone: 786-536-4399