Healthcare Provider Details

I. General information

NPI: 1881049856
Provider Name (Legal Business Name): A NEW DAY LODI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 08/05/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 BANK ST
LODI OH
44254-1025
US

IV. Provider business mailing address

737 BANK ST
LODI OH
44254-1025
US

V. Phone/Fax

Practice location:
  • Phone: 330-636-1741
  • Fax: 330-948-0880
Mailing address:
  • Phone: 330-636-1741
  • Fax: 330-948-0880

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 Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID HUNTER
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential: LPCC-S
Phone: 330-636-1478