Healthcare Provider Details

I. General information

NPI: 1265743991
Provider Name (Legal Business Name): NEW DAY COUNSELING AND PSYCHIATRIC SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 BELDEN VILLAGE ST NW SUITE 606
CANTON OH
44718-2524
US

IV. Provider business mailing address

4550 BELDEN VILLAGE ST NW SUITE 606
CANTON OH
44718-2524
US

V. Phone/Fax

Practice location:
  • Phone: 330-305-9696
  • Fax: 330-455-2101
Mailing address:
  • Phone: 330-305-9696
  • Fax: 330-455-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARRIE MARCERIC
Title or Position: MARKETING
Credential:
Phone: 330-455-0374