Provider Demographics
NPI:1154659134
Name:A NEW DAY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:A NEW DAY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LICENSED INDEPENDENT SOC WKR
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:216-406-0175
Mailing Address - Street 1:11021 WADE PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1819
Mailing Address - Country:US
Mailing Address - Phone:216-406-0175
Mailing Address - Fax:
Practice Address - Street 1:27801 EUCLID AVE
Practice Address - Street 2:454
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3549
Practice Address - Country:US
Practice Address - Phone:216-406-0175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI09002891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty