=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922581610
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW DAY THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2018
-----------------------------------------------------
Last Update Date | 06/20/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 225 COLLEGE PKWY STE 101
-----------------------------------------------------
City | PARKERSBURG
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26104-7616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-485-3345
-----------------------------------------------------
Fax | 304-485-3345
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 225 COLLEGE PKWY STE 101
-----------------------------------------------------
City | PARKERSBURG
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26104-7616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-485-3345
-----------------------------------------------------
Fax | 304-485-3345
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | SABRINA GABBERT-FORTNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 304-485-3345
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------