Provider Demographics
NPI:1336687011
Name:DEBORAH R. GOODWIN DBA A NEW DAY COUNSELING CENTER
Entity Type:Organization
Organization Name:DEBORAH R. GOODWIN DBA A NEW DAY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:497-260-6181
Mailing Address - Street 1:1061 MAITLAND CENTER COMMONS BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7435
Mailing Address - Country:US
Mailing Address - Phone:407-260-6181
Mailing Address - Fax:
Practice Address - Street 1:1061 MAITLAND CENTER COMMONS BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7435
Practice Address - Country:US
Practice Address - Phone:407-260-6181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9472251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health