Basic Information
| Provider Information | |||||||||
| NPI: | 1265743991 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW DAY COUNSELING AND PSYCHIATRIC SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4550 BELDEN VILLAGE ST NW | ||||||||
| Address2: | SUITE 606 | ||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447182524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303059696 | ||||||||
| FaxNumber: | 3304552101 | ||||||||
| Practice Location | |||||||||
| Address1: | 4550 BELDEN VILLAGE ST NW | ||||||||
| Address2: | SUITE 606 | ||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447182524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303059696 | ||||||||
| FaxNumber: | 3304552101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2010 | ||||||||
| LastUpdateDate: | 06/28/2010 | ||||||||
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| AuthorizedOfficialLastName: | MARCERIC | ||||||||
| AuthorizedOfficialFirstName: | CARRIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | MARKETING | ||||||||
| AuthorizedOfficialTelephone: | 3304550374 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TP0016X | OH | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Prescribing (Medical) | 101YM0800X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.