Provider Demographics
NPI:1821453267
Name:NEW DAY HOLISTIC THERAPY, LLC
Entity Type:Organization
Organization Name:NEW DAY HOLISTIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, BSL
Authorized Official - Phone:610-574-5489
Mailing Address - Street 1:77 W INDIAN LN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3510
Mailing Address - Country:US
Mailing Address - Phone:610-574-5489
Mailing Address - Fax:
Practice Address - Street 1:590 W VALLEY FORGE RD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1569
Practice Address - Country:US
Practice Address - Phone:610-574-5489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005085101YP2500X
PABH000016103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty