Provider Demographics
NPI:1790870806
Name:A NEW DAY COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:A NEW DAY COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, CPC
Authorized Official - Phone:308-236-9105
Mailing Address - Street 1:3915 N AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2699
Mailing Address - Country:US
Mailing Address - Phone:308-236-9105
Mailing Address - Fax:308-236-9903
Practice Address - Street 1:3915 N AVE
Practice Address - Street 2:SUITE B
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2699
Practice Address - Country:US
Practice Address - Phone:308-236-9105
Practice Address - Fax:308-236-9903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE732316000OtherMAGELLAN BEHAVIORAL HEALT
NE10025789800Medicaid