Organization
A NEW BEGINNING BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY N WALLIN (OWNER)
(602) 317-1006
Entity
Organization
Contact information
Practice address
1010 E MCDOWELL RD STE LL1, PHOENIX, AZ 85006-2606
(602) 317-1006
Mailing address
1010 E MCDOWELL RD STE LL1, PHOENIX, AZ 85006-2606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NA
AZ
Enumeration date
11/15/2022
Last updated
02/26/2024
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