Provider Demographics
NPI:1497159149
Name:NEW DAWN COUNSELING LLC
Entity Type:Organization
Organization Name:NEW DAWN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF LLC
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO ANN
Authorized Official - Middle Name:REEVES
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-767-2367
Mailing Address - Street 1:1363 MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-4201
Mailing Address - Country:US
Mailing Address - Phone:205-767-2367
Mailing Address - Fax:
Practice Address - Street 1:450 TARRANT RD
Practice Address - Street 2:SUITE 120B
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2926
Practice Address - Country:US
Practice Address - Phone:205-767-2367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2602251S00000X
FLMH8187251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health