Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New Name Born LLC

Organization Peer Specialist · NPI 1114764420

New Name Born LLC is a Peer Specialist in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11124 Frnt Porch Ave Apt 21107
Charlotte, NC 28227-0049
Phone: (704) 777-5710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1114764420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cypriel Nwafor — Ceo · (704) 777-5710
Other names Newnameborn; Newnameborn
NPI enumeratedJuly 12, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address11124 Front Porch Ave Apt 21107, Charlotte, NC 28227-0049

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