Organization · NPI-2
A New Day Arizona Clinic LLC
Counselor, Mental Health · Phoenix, AZ
NPI number1558091686
StatusActive
Last updated in NPPESJun 13, 2022
Details
- NPI
- 1558091686
- Entity type
- Organization (NPI-2)
- Legal business name
- A New Day Arizona Clinic LLC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2022
- Certification date
- Jun 13, 2022
- Last updated
- Jun 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- A New Day Arizona (Doing Business As)
Practice location
5501 N 19th Ave Ste 430Phoenix, AZ 85015-2481
Phone 602-524-5521
Mailing address
5501 N 19th Ave Ste 430Phoenix, AZ 85015-2481
Authorized official
Jimmy Evans
Ceo/Owner
6025245521
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