MEDICARE: A NEW BEGINNING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	8644	TX
2	251S00000X	Community/Behavioral Health Agency	8644	TX

General Provider Information

NPI Number	:	1144462227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW BEGINNING

Provider Business Mailing Address
First Line	:	2510 ELECTRONIC LN
Second Line	:	SUITE 904
City	:	DALLAS
State	:	TX
Zip	:	75220-1251
Country	:	US
Telephone Number	:	214-350-1188
Fax Number	:	214-350-0018

Provider Business Practice Location Address
First Line	:	2510 ELECTRONIC LN
Second Line	:	SUITE 904
City	:	DALLAS
State	:	TX
Zip	:	75220-1251
Country	:	US
Telephone Number	:	214-350-1188
Fax Number	:	214-350-0018

Authorized Official
Title or Position	:	PROGRAM DIRECTOR/OWNER
Name	:	MS. DEBIE HACKETT
Credential	:	LCDC
Telephone Number	:	214-350-1188

Provider Enumeration Date	:	04/03/2009
Last Update Date	:	04/03/2009

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Directions to “A NEW BEGINNING ” Practice Location

Language	Start Address	Practice Location

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