MEDICARE: HAPPY NEW DAY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073215448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY NEW DAY LLC

Provider Business Mailing Address
First Line	:	1901 BYRON ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2448
Country	:	US
Telephone Number	:	108-043-5708
Fax Number	:

Provider Business Practice Location Address
First Line	:	3002 HUNGARY SPRING RD STE 204
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2425
Country	:	US
Telephone Number	:	804-357-0840
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KIMBERLY BANKS
Credential	:	MFT
Telephone Number	:	804-357-0840

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	03/20/2023

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Directions to “HAPPY NEW DAY LLC ” Practice Location

Language	Start Address	Practice Location

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