Provider Demographics
NPI:1760852958
Name:ITS A NEW DAY THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:ITS A NEW DAY THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KVAME
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-898-7925
Mailing Address - Street 1:8917 OREN AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1830
Mailing Address - Country:US
Mailing Address - Phone:813-898-7925
Mailing Address - Fax:
Practice Address - Street 1:8917 OREN AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1830
Practice Address - Country:US
Practice Address - Phone:813-898-7925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health