Healthcare Provider Details
I. General information
NPI: 1033841556
Provider Name (Legal Business Name): NEW DAY AGAIN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
377 WETMORE RD
COLUMBUS OH
43214
US
IV. Provider business mailing address
377 WETMORE RD
COLUMBUS OH
43214-2115
US
V. Phone/Fax
- Phone: 614-397-3141
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ELISABETH
A
DUN
Title or Position: PROPRIETOR
Credential: MSW, LISW-S
Phone: 614-397-3141