Provider Demographics
NPI:1902212251
Name:NEW DAY EMOTIONAL CARE, LLC
Entity Type:Organization
Organization Name:NEW DAY EMOTIONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:MELVA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:GIBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, BC
Authorized Official - Phone:843-779-4254
Mailing Address - Street 1:2117 W PALMETTO ST STE A
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3902
Mailing Address - Country:US
Mailing Address - Phone:843-799-4254
Mailing Address - Fax:843-799-4324
Practice Address - Street 1:2117 W PALMETTO ST STE A
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3902
Practice Address - Country:US
Practice Address - Phone:843-799-4254
Practice Address - Fax:843-799-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN1620163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty