Provider Demographics
NPI:1700305067
Name:NEW DAWN COUNSELING, LLC
Entity Type:Organization
Organization Name:NEW DAWN COUNSELING, LLC
Other - Org Name:REPRODUCTIVE JOURNEY COUNSELING AND SUPPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SUSANNAH
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-513-1844
Mailing Address - Street 1:25 WOODS LAKE RD STE 712
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2765
Mailing Address - Country:US
Mailing Address - Phone:864-242-0005
Mailing Address - Fax:
Practice Address - Street 1:25 WOODS LAKE RD STE 712
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2765
Practice Address - Country:US
Practice Address - Phone:864-242-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty