Healthcare Provider Details

I. General information

NPI: 1366281701
Provider Name (Legal Business Name): NEW BEGINNING MENTAL HEALTH COMMUNITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3940 RADIO RD STE 111
NAPLES FL
34104-3740
US

IV. Provider business mailing address

3940 RADIO RD STE 111
NAPLES FL
34104-3740
US

V. Phone/Fax

Practice location:
  • Phone: 786-417-7527
  • Fax:
Mailing address:
  • Phone: 786-417-7527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARLEN TOLEDO
Title or Position: OWNER
Credential:
Phone: 786-417-7527