Provider Demographics
NPI:1275666448
Name:NEW DAY COUNSELING CENTER, INC., P.C.
Entity Type:Organization
Organization Name:NEW DAY COUNSELING CENTER, INC., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-423-6200
Mailing Address - Street 1:6881 RAEFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2630
Mailing Address - Country:US
Mailing Address - Phone:910-423-6200
Mailing Address - Fax:910-429-0800
Practice Address - Street 1:6881 RAEFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2630
Practice Address - Country:US
Practice Address - Phone:910-423-6200
Practice Address - Fax:910-429-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC004254251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002458Medicaid
NC2875309AMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #
NC6002458Medicaid