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General NPI Number Information
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NPI Number | 1154659134
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Entity Type | Organization
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Legal Business Name | A NEW DAY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE 454
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City | EUCLID
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State | OH
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Zip | 44132-3549
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Country | US
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Telephone | 216-406-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 11021 WADE PARK AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1819
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Country | US
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Telephone | 216-406-0175
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Fax |
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Authorized Official
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Title or Position | CEO/LICENSED INDEPENDENT SOC WKR
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Name | DESIREE RACHEL JAMES
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Credential | LISW
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Telephone | 216-406-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I0900289
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License Number State | OH
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