Healthcare Provider Details

I. General information

NPI: 1265509137
Provider Name (Legal Business Name): NEW BEGINNINGS COUNSELING CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE NORTHGATE PK STE 201
CHATTANOOGA TN
37415
US

IV. Provider business mailing address

ONE NORTHGATE PK STE 201
CHATTANOOGA TN
37415
US

V. Phone/Fax

Practice location:
  • Phone: 423-870-5647
  • Fax: 423-870-5545
Mailing address:
  • Phone: 423-870-5647
  • Fax: 423-870-5545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SALIDA GUINN BROOKS
Title or Position: OWNER
Credential:
Phone: 423-870-5647