Provider Demographics
NPI:1326462151
Name:A NEW DAY COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:A NEW DAY COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:HOOPER
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:281-222-7721
Mailing Address - Street 1:10601 GRANT RD
Mailing Address - Street 2:119
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4400
Mailing Address - Country:US
Mailing Address - Phone:281-222-7721
Mailing Address - Fax:832-201-9812
Practice Address - Street 1:10601 GRANT RD
Practice Address - Street 2:119
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4400
Practice Address - Country:US
Practice Address - Phone:281-222-7721
Practice Address - Fax:832-201-9812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX362991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1750663Medicaid