MEDICARE: NEW DAY MENTAL HEALTH COUNSELING

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1619582012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAY MENTAL HEALTH COUNSELING

Provider Business Mailing Address
First Line	:	1904 S MACDILL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5903
Country	:	US
Telephone Number	:	813-773-0013
Fax Number	:	813-537-8711

Provider Business Practice Location Address
First Line	:	1904 S MACDILL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5903
Country	:	US
Telephone Number	:	813-773-0013
Fax Number	:	813-537-8711

Authorized Official
Title or Position	:	CO-OWNER
Name	:	KELSEY PATERSON
Credential	:	LCSW
Telephone Number	:	813-773-0013

Provider Enumeration Date	:	09/11/2020
Last Update Date	:	09/11/2020

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