Provider Demographics
NPI:1275962193
Name:A NEW DAY COUNSELING GROUP LLC
Entity Type:Organization
Organization Name:A NEW DAY COUNSELING GROUP LLC
Other - Org Name:ABSOLUTE WELLNESS BEHAVIORAL & NUTRITIONAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-850-0274
Mailing Address - Street 1:3941 HOLCOMB BRIDGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2292
Mailing Address - Country:US
Mailing Address - Phone:855-850-0274
Mailing Address - Fax:
Practice Address - Street 1:3941 HOLCOMB BRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2292
Practice Address - Country:US
Practice Address - Phone:855-850-0274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0003213627AMedicaid