Healthcare Provider Details

I. General information

NPI: 1902635881
Provider Name (Legal Business Name): NEW BEGINNINGS MENTAL HEALTH AND PHYSICAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 E MONUMENT ST
BALTIMORE MD
21205-2431
US

IV. Provider business mailing address

2232 E MONUMENT ST
BALTIMORE MD
21205-2431
US

V. Phone/Fax

Practice location:
  • Phone: 443-304-7457
  • Fax: 301-276-4555
Mailing address:
  • Phone: 443-304-7457
  • Fax: 301-276-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PATRICE QUELCH
Title or Position: OWNER
Credential: APRN
Phone: 240-351-6760