Basic Information
| Provider Information | |||||||||
| NPI: | 1447860713 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | A NEW DAY COUNSELING CENTER, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 REES ST | ||||||||
| Address2: | |||||||||
| City: | BREAUX BRIDGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705174611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3374426823 | ||||||||
| FaxNumber: | 3374428625 | ||||||||
| Practice Location | |||||||||
| Address1: | 251 REES ST | ||||||||
| Address2: | |||||||||
| City: | BREAUX BRIDGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705174611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3374426823 | ||||||||
| FaxNumber: | 3374428625 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2020 | ||||||||
| LastUpdateDate: | 08/03/2020 | ||||||||
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| AuthorizedOfficialLastName: | PIERRE | ||||||||
| AuthorizedOfficialFirstName: | NORLET | ||||||||
| AuthorizedOfficialMiddleName: | TAYLOR | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 3374426823 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | A NEW DAY COUNSELING CENTER, LLC | ||||||||
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| NPICertificationDate: | 08/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.