Healthcare Provider Details

I. General information

NPI: 1952921512
Provider Name (Legal Business Name): A NEW DAY COUNSELING UTAH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 09/09/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 E. ENNINBERG WAY
ST. GEORGE UT
84790
US

IV. Provider business mailing address

3990 E. ENNINBERG WAY
ST. GEORGE UT
84790
US

V. Phone/Fax

Practice location:
  • Phone: 801-432-7696
  • Fax: 866-730-6507
Mailing address:
  • Phone: 801-432-7696
  • Fax: 866-730-6507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAMIE LYNN DAYBELL
Title or Position: OWNER
Credential:
Phone: 801-432-7696