MEDICARE: NEW DAY THERAPY

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	:	1699330886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAY THERAPY

Provider Business Mailing Address
First Line	:	5115 BROWN ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3631
Country	:	US
Telephone Number	:	847-530-6026
Fax Number	:

Provider Business Practice Location Address
First Line	:	5115 BROWN ST
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3631
Country	:	US
Telephone Number	:	847-530-6026
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	LONI ITAH
Credential	:	LCPC
Telephone Number	:	847-530-6026

Provider Enumeration Date	:	05/03/2019
Last Update Date	:	11/03/2020

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Directions to “NEW DAY THERAPY ” Practice Location

Language	Start Address	Practice Location

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