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General NPI Number Information
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NPI Number | 1073109575
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Entity Type | Organization
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Legal Business Name | DAWN OF A NEW DAY COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 1 WINDSOR CV STE 205
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City | COLUMBIA
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State | SC
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Zip | 29223-1833
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Country | US
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Telephone | 180-399-9641
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Fax | 803-851-3080
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Provider Business Mailing Address
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Address Line | 234 LONGTOWN PLACE DR STE 205
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City | COLUMBIA
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State | SC
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Zip | 29229-6853
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Country | US
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Telephone | 706-289-1350
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Fax | 803-851-3080
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. THERESA D MCDANIEL
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Credential | LPC
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Telephone | 803-999-6419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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