Provider Demographics
NPI:1225194400
Name:NEW DAWN COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:NEW DAWN COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PASTORAL COUNSELO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:DMDIV
Authorized Official - Phone:732-469-9996
Mailing Address - Street 1:736 MOUNTAIN BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6243
Mailing Address - Country:US
Mailing Address - Phone:732-469-9996
Mailing Address - Fax:
Practice Address - Street 1:114 SMOKE RISE DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-6821
Practice Address - Country:US
Practice Address - Phone:732-469-3371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLA74183B101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty