=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376337741
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW BEGINNINGS MENTAL HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/08/2025
-----------------------------------------------------
Last Update Date | 04/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6782 POST OAK DR
-----------------------------------------------------
City | HUEYTOWN
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35023-5977
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-895-8701
-----------------------------------------------------
Fax | 205-892-1851
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6782 POST OAK DR
-----------------------------------------------------
City | HUEYTOWN
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35023-5977
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-895-8701
-----------------------------------------------------
Fax | 205-892-1851
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAKISHA C. KNIGHT
-----------------------------------------------------
Credential | CRNP
-----------------------------------------------------
Telephone | 205-895-8701
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------