Provider Demographics
NPI:1487352183
Name:NEW PATH NEW BEGINNINGS FAMILY SERVICES LLC
Entity type:Organization
Organization Name:NEW PATH NEW BEGINNINGS FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RASHAUD
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-414-1316
Mailing Address - Street 1:7143 E SOUTHERN AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-2657
Mailing Address - Country:US
Mailing Address - Phone:520-414-1316
Mailing Address - Fax:
Practice Address - Street 1:7143 E SOUTHERN AVE STE 135
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-2657
Practice Address - Country:US
Practice Address - Phone:520-414-1316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)