Provider Demographics
NPI:1568142503
Name:NEW DAWN COUNSELING SERVICES
Entity Type:Organization
Organization Name:NEW DAWN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC
Authorized Official - Phone:419-905-7805
Mailing Address - Street 1:PO BOX 1980
Mailing Address - Street 2:
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-0980
Mailing Address - Country:US
Mailing Address - Phone:419-905-7805
Mailing Address - Fax:
Practice Address - Street 1:211 S WEST AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-3017
Practice Address - Country:US
Practice Address - Phone:419-905-7805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty