Provider Demographics
NPI:1518382977
Name:A NEW DAY COUNSELING CENTER LTD
Entity Type:Organization
Organization Name:A NEW DAY COUNSELING CENTER LTD
Other - Org Name:A NEW DAY COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOETTGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-853-0766
Mailing Address - Street 1:450 E. 22ND ST. SUITE 150
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6106
Mailing Address - Country:US
Mailing Address - Phone:630-853-0766
Mailing Address - Fax:
Practice Address - Street 1:2 E 22ND ST STE 302
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6106
Practice Address - Country:US
Practice Address - Phone:630-853-0766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty