MEDICARE: NEW DAY COUNSELING SERVICES, PLLC

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	251S00000X	Community/Behavioral Health Agency	7754	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538483094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAY COUNSELING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	3737 JUNCTION BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-5263
Country	:	US
Telephone Number	:	919-772-0182
Fax Number	:	919-747-4202

Provider Business Practice Location Address
First Line	:	3737 JUNCTION BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-5263
Country	:	US
Telephone Number	:	919-772-0182
Fax Number	:	919-747-4202

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MRS. AIMEE PANTON PERRY
Credential	:	LPC
Telephone Number	:	919-772-0182

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/22/2011

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