Provider Demographics
NPI:1679042444
Name:A NEW DAY ELI COUNSELING PLLC
Entity Type:Organization
Organization Name:A NEW DAY ELI COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:833-639-3290
Mailing Address - Street 1:1513 HOLLY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15632 STATE HIGHWAY 110 S STE 23
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-5524
Practice Address - Country:US
Practice Address - Phone:833-639-3290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty