Healthcare Provider Details

I. General information

NPI: 1316416837
Provider Name (Legal Business Name): NEW BEGINNING COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2617 JUAN TABO BLVD NE UNIT A/D
ALBUQUERQUE NM
87112
US

IV. Provider business mailing address

2617 JUAN TABO BLVD NE UNIT A/D
ALBUQUERQUE NM
87112
US

V. Phone/Fax

Practice location:
  • Phone: 505-295-3159
  • Fax: 505-266-2502
Mailing address:
  • Phone: 505-295-3159
  • Fax: 505-266-2502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. SYLVESTER M ONYEA SR.
Title or Position: CEO
Credential: RN
Phone: 214-727-7762