Provider Demographics
NPI:1265743991
Name:NEW DAY COUNSELING AND PSYCHIATRIC SERVICES, INC.
Entity type:Organization
Organization Name:NEW DAY COUNSELING AND PSYCHIATRIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARKETING
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCERIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-455-0374
Mailing Address - Street 1:4550 BELDEN VILLAGE ST NW
Mailing Address - Street 2:SUITE 606
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2524
Mailing Address - Country:US
Mailing Address - Phone:330-305-9696
Mailing Address - Fax:330-455-2101
Practice Address - Street 1:4550 BELDEN VILLAGE ST NW
Practice Address - Street 2:SUITE 606
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2524
Practice Address - Country:US
Practice Address - Phone:330-305-9696
Practice Address - Fax:330-455-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103TP0016X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherSELF PAY AND INSURANCES