Healthcare Provider Details

I. General information

NPI: 1811842784
Provider Name (Legal Business Name): NEW BEGINNINGS ELEVATING SOCIAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 PARKER RD SE STE 210
CONYERS GA
30094-6654
US

IV. Provider business mailing address

1775 PARKER RD SE STE 210
CONYERS GA
30094-6654
US

V. Phone/Fax

Practice location:
  • Phone: 404-298-0888
  • Fax:
Mailing address:
  • Phone: 404-298-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICOLE HARRIS
Title or Position: CEO
Credential: LCSW
Phone: 404-668-8714