Healthcare Provider Details

I. General information

NPI: 1568237089
Provider Name (Legal Business Name): NEW BEGINNINGS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 GERMANTOWN BEND CV
CORDOVA TN
38018-7285
US

IV. Provider business mailing address

6800 WYTHAM DR
MEMPHIS TN
38119-8423
US

V. Phone/Fax

Practice location:
  • Phone: 901-443-2364
  • Fax:
Mailing address:
  • Phone: 901-254-9315
  • Fax:

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 Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MORGAN CRENSHAW
Title or Position: OWNER; THERAPIST
Credential: LCSW
Phone: 901-254-9315