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General NPI Number Information
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NPI Number | 1669826715
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Entity Type | Organization
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Legal Business Name | BRAND NEW DAY COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 4499 HIGHWAY 40 STE A
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City | SAINT MARYS
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State | GA
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Zip | 31558-9402
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Country | US
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Telephone | 912-289-7988
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Fax | 912-729-4969
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Provider Business Mailing Address
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Address Line | 4499 HIGHWAY 40 STE A
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City | SAINT MARYS
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State | GA
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Zip | 31558-9402
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Country | US
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Telephone | 912-227-8625
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Fax | 912-228-4882
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALETA FOX
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Credential |
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Telephone | 912-227-8625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CSW005728
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License Number State | GA
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