Healthcare Provider Details

I. General information

NPI: 1114780301
Provider Name (Legal Business Name): NEW BEGINNINGS HEALTH AND WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 W NORTH BLVD STE 5
LEESBURG FL
34748-3997
US

IV. Provider business mailing address

1326 W NORTH BLVD STE 5
LEESBURG FL
34748-3997
US

V. Phone/Fax

Practice location:
  • Phone: 407-990-1904
  • Fax: 321-225-5779
Mailing address:
  • Phone: 407-990-1904
  • Fax: 321-225-5779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROL SPRY
Title or Position: OWNER
Credential:
Phone: 352-844-3503