Provider Demographics
NPI:1366520579
Name:NEW DIRECTIONS CS PLLC
Entity type:Organization
Organization Name:NEW DIRECTIONS CS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE SUPPORT STAFF
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:W
Authorized Official - Last Name:BURGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-754-6087
Mailing Address - Street 1:201 GOVERNMENT AVE SW
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-2954
Mailing Address - Country:US
Mailing Address - Phone:828-267-1740
Mailing Address - Fax:828-267-1746
Practice Address - Street 1:201 GOVERNMENT AVE SW
Practice Address - Street 2:SUITE 305
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2954
Practice Address - Country:US
Practice Address - Phone:828-267-1740
Practice Address - Fax:828-267-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5068101YP2500X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty