Provider Demographics
NPI:1881049856
Name:A NEW DAY LODI, LLC
Entity type:Organization
Organization Name:A NEW DAY LODI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:330-636-1478
Mailing Address - Street 1:737 BANK ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:OH
Mailing Address - Zip Code:44254-1025
Mailing Address - Country:US
Mailing Address - Phone:330-636-1741
Mailing Address - Fax:330-948-0880
Practice Address - Street 1:737 BANK ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:OH
Practice Address - Zip Code:44254-1025
Practice Address - Country:US
Practice Address - Phone:330-636-1741
Practice Address - Fax:330-948-0880
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A NEW DAY LODI, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-27
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184210Medicaid
OH0343091OtherMEDICAID MENTAL HEALTH