Healthcare Provider Details

I. General information

NPI: 1912860024
Provider Name (Legal Business Name): A NEW START INITIATIVE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8645 SHALLOW CREEK TRAIL
BAILEY NC
27807
US

IV. Provider business mailing address

207 W MILLBROOK RD STE 210
RALEIGH NC
27609-4490
US

V. Phone/Fax

Practice location:
  • Phone: 252-452-8093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: FELICIA THORNE
Title or Position: FOUNDER & EXECUTIVE DIRECTOR
Credential:
Phone: 252-452-8093