Healthcare Provider Details

I. General information

NPI: 1326766585
Provider Name (Legal Business Name): NEW DAY RISING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13690 S BURTON RD
SPRING VALLEY AZ
86333-4245
US

IV. Provider business mailing address

3623 CROSSINGS DR
PRESCOTT AZ
86305-7101
US

V. Phone/Fax

Practice location:
  • Phone: 855-988-9111
  • Fax: 855-988-9111
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN KATHLEEN SMITH
Title or Position: COO
Credential: PHD
Phone: 928-460-2684