Provider Demographics
NPI:1073109575
Name:DAWN OF A NEW DAY COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:DAWN OF A NEW DAY COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-999-6419
Mailing Address - Street 1:234 LONGTOWN PLACE DR STE 205
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-6853
Mailing Address - Country:US
Mailing Address - Phone:706-289-1350
Mailing Address - Fax:803-851-3080
Practice Address - Street 1:1 WINDSOR CV STE 205
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-1833
Practice Address - Country:US
Practice Address - Phone:180-399-9641
Practice Address - Fax:803-851-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC2176GMedicaid