Healthcare Provider Details

I. General information

NPI: 1932428091
Provider Name (Legal Business Name): NEW DAY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5833 RICHMOND TAPPAHANNOCK HWY SUITE 108-B
AYLETT VA
23009-3007
US

IV. Provider business mailing address

PO BOX 284
AYLETT VA
23009-0284
US

V. Phone/Fax

Practice location:
  • Phone: 804-769-7971
  • Fax: 804-769-0714
Mailing address:
  • Phone: 804-769-7971
  • Fax: 804-769-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701003219
License Number StateVA

VIII. Authorized Official

Name: MS. ANNE M ALLEN
Title or Position: OWNER
Credential: LPC
Phone: 804-769-7971