Organization Active NPI

New Beginnings Therapy Center, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Simpsonville, SC
National Provider Identifier
1093128449
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
1634 Issued in SC
Legal business name
NEW BEGINNINGS THERAPY CENTER, LLC
Practice address
309 SE Main St
Suite 206
Simpsonville, SC 29681-2653
Phone
(864) 270-9150
Fax
(864) 252-9293
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judith R Phillips, L.P.C.
Title
Sole Proprietor
Phone
(864) 270-9150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1634 SC Primary

Addresses

Primary practice location

309 SE Main St
Suite 206
Simpsonville, SC 29681-2653

Mailing address

45 Doverdale Rd
Greenville, SC 29615-3935
Phone (864) 270-9150

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1093128449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DOVERDALE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153935",
            "telephone_number": "864-270-9150",
            "fax_number": "864-252-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SE MAIN ST",
            "address_2": "SUITE 206",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812653",
            "telephone_number": "864-270-9150",
            "fax_number": "864-252-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "864-270-9150",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "SC",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.