MEDICARE: NEW DAWN COUNSELING 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	101YP2500X	Professional Counselor	5471	LA

General Provider Information

NPI Number	:	1902145717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAWN COUNSELING LLC

Provider Business Mailing Address
First Line	:	1234 DEL ESTE AVE STE 401
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4829
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1234 DEL ESTE AVE STE 401
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4829
Country	:	US
Telephone Number	:	225-665-8090
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OUTPATIENT COUNSELORS
Name	:	ANDREA ENGELS
Credential	:	LPC, NCC
Telephone Number	:	225-665-8090

Provider Enumeration Date	:	02/14/2013
Last Update Date	:	02/14/2013

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Directions to “NEW DAWN COUNSELING LLC ” Practice Location

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