Healthcare Provider Details

I. General information

NPI: 1851221998
Provider Name (Legal Business Name): A NEW BEGINNING MENTAL HEALTH & WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 HANFRED LN
TUCKER GA
30084-4810
US

IV. Provider business mailing address

2208 HANFRED LN
TUCKER GA
30084-4810
US

V. Phone/Fax

Practice location:
  • Phone: 951-258-5907
  • Fax: 951-258-5907
Mailing address:
  • Phone: 951-258-5907
  • Fax: 951-258-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. JAMIE KIRK
Title or Position: LICENSED PSYCHOTHERAPY
Credential: LMFT
Phone: 951-258-5907