| Brand New Day Counseling Services, Inc. | |
|
4499 Highway 40 Ste A Saint Marys GA 31558-9402 | |
| (912) 289-7988 | |
| (912) 729-4969 |
| Full Name | Brand New Day Counseling Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4499 Highway 40 Ste A, Saint Marys, Georgia |
| Authorized Official Name and Position | Aleta Fox (PRESIDENT) |
| Authorized Official Contact | 9122278625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brand New Day Counseling Services, Inc. 4499 Highway 40 Ste A Saint Marys GA 31558-9402 Ph: (912) 227-8625 | Brand New Day Counseling Services, Inc. 4499 Highway 40 Ste A Saint Marys GA 31558-9402 Ph: (912) 289-7988 |
| NPI Number | 1669826715 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 11/12/2019 |
| Medicare PECOS PAC ID | 0648563874 |
|---|---|
| Medicare Enrollment ID | O20160726002634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669826715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW005728 (Georgia) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Aleta Jane Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508297664 PECOS PAC ID: 1557654787 Enrollment ID: I20160726003054 |
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