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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1912268202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW BEGINNING

Provider Business Mailing Address
First Line	:	PO BOX 4265
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66104-0265
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 MINNESOTA AVE
Second Line	:	SUITE 240
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2806
Country	:	US
Telephone Number	:	913-302-8133
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANDREW HARRIS
Credential	:
Telephone Number	:	913-302-8133

Provider Enumeration Date	:	06/03/2012
Last Update Date	:	06/03/2012

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Directions to “A NEW BEGINNING ” Practice Location

Language	Start Address	Practice Location

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