Healthcare Provider Details

I. General information

NPI: 1801517917
Provider Name (Legal Business Name): NEW DAY RECOVERY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 STATE ST STE 106
BISMARCK ND
58503-0689
US

IV. Provider business mailing address

4007 STATE ST STE 106
BISMARCK ND
58503-0689
US

V. Phone/Fax

Practice location:
  • Phone: 701-299-3552
  • Fax: 701-299-4521
Mailing address:
  • Phone: 701-299-3552
  • Fax: 701-299-4521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIRANDA COMBS
Title or Position: OWNER
Credential: LCAC
Phone: 701-299-3552