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NEWNAMEBORN
NPI 1114764420
Peer Specialist in Charlotte, NC

Active since July 12, 2024
11124 FRONT PORCH AVE APT 21107, CHARLOTTE, NC 28227(704) 777-5710 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2024, Jul 12, 2024 (2 updates tracked since 2024).

About Newnameborn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWNAMEBORN (NPI 1114764420) is a healthcare organization registered as a peer specialist in Charlotte, North Carolina and active in the NPI registry since July 2024. The organization lists Cypriel Fidelis Nwafor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114764420
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameNEW NAME BORN LLC
Location Address11124 FRONT PORCH AVE APT 21107Charlotte, NC 28227-0049
Mailing Address11124 Front Porch Ave Apt 21107Charlotte, NC 28227-0049 · (704) 777-5710
Phone(704) 777-5710
Organization SubpartNo
Authorized OfficialCypriel Fidelis NwaforCeo · (704) 777-5710
Enumeration DateJuly 12, 2024
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1114764420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
11124 FRONT PORCH AVE APT 21107, Charlotte, NC 28227
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Other Names 1

Doing Business AsNewnameborn

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CYPRIEL FIDELIS NWAFOR
Peer Specialist
11124 FRONT PORCH AVE APT 21107
CHARLOTTE, NC 28227
Mecklenburg County (704) 777-5710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Name Born LLC's NPI number?

The NPI number for New Name Born LLC is 1114764420. It was assigned to this organization in the NPPES registry on July 12, 2024. The provider is doing business as Newnameborn.

Where is New Name Born LLC located?

New Name Born LLC is located at 11124 Front Porch Ave Apt 21107, Charlotte, NC 28227. The listed phone number is (704) 777-5710.

What is New Name Born LLC's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for New Name Born LLC was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.