Provider Demographics
NPI:1740452267
Name:NEW BEGINNINGS TRAUMA AND RECOVERY SERVICES,PLLC
Entity type:Organization
Organization Name:NEW BEGINNINGS TRAUMA AND RECOVERY SERVICES,PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-383-3971
Mailing Address - Street 1:2726 CROASDAILE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2578
Mailing Address - Country:US
Mailing Address - Phone:919-383-3971
Mailing Address - Fax:
Practice Address - Street 1:2726 CROASDAILE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2578
Practice Address - Country:US
Practice Address - Phone:919-383-3971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health