MEDICARE: ANEW DAWN COUNSELING AND CONSULTING, 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770128936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANEW DAWN COUNSELING AND CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	2187 SPRING BRANCH RD
Second Line	:
City	:	TAR HEEL
State	:	NC
Zip	:	28392-8550
Country	:	US
Telephone Number	:	910-549-8149
Fax Number	:

Provider Business Practice Location Address
First Line	:	907 HAY ST STE 104
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5352
Country	:	US
Telephone Number	:	910-639-5425
Fax Number	:	910-779-0279

Authorized Official
Title or Position	:	OWNER/ THERAPIST
Name	:	DAWN DEBRECA BELLE-GADDY
Credential	:	LCSW
Telephone Number	:	910-639-5425

Provider Enumeration Date	:	11/12/2019
Last Update Date	:	04/05/2021

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