Provider Demographics
NPI:1285810432
Name:NEW BEGINNINGS BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, PSYD
Authorized Official - Phone:417-724-0700
Mailing Address - Street 1:729 W CENTER CIR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7001
Mailing Address - Country:US
Mailing Address - Phone:417-724-0700
Mailing Address - Fax:417-724-0710
Practice Address - Street 1:729 W CENTER CIR
Practice Address - Street 2:SUITE 103
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7001
Practice Address - Country:US
Practice Address - Phone:417-724-0700
Practice Address - Fax:417-724-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002020631101YP2500X
MO2008009366103TC0700X
MO2002030467103TC2200X
MO2006029922103TH0100X
MO20040054351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty