Healthcare Provider Details

I. General information

NPI: 1891648234
Provider Name (Legal Business Name): A NEW BEGINNING HEALTH AND HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 S BRIDGEWAY PL STE 280
EAGLE ID
83616-6834
US

IV. Provider business mailing address

1025 S BRIDGEWAY PL STE 280
EAGLE ID
83616-6834
US

V. Phone/Fax

Practice location:
  • Phone: 208-514-9970
  • Fax: 208-853-1318
Mailing address:
  • Phone: 208-514-9970
  • Fax: 208-853-1318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA SHAKESPEARE NEIGHBORS
Title or Position: PRESIDENT/PSYCHOLOGIST
Credential: PSYD
Phone: 208-514-9970