| New Dawn Behavioral Health Llc | |
|
4601 Bayard Park Dr Ste 202 Evansville IN 47714-0602 | |
| (812) 202-6311 | |
| Not Available |
| Full Name | New Dawn Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4601 Bayard Park Dr Ste 202, Evansville, Indiana |
| Authorized Official Name and Position | Lynette Dawn May (OWNER) |
| Authorized Official Contact | 8126299785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dawn Behavioral Health Llc Po Box 3817 Evansville IN 47736-3817 Ph: (812) 629-9785 | New Dawn Behavioral Health Llc 4601 Bayard Park Dr Ste 202 Evansville IN 47714-0602 Ph: (812) 202-6311 |
| NPI Number | 1457702599 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 10/11/2019 |
| Medicare PECOS PAC ID | 4284964024 |
|---|---|
| Medicare Enrollment ID | O20190923000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457702599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251K00000X | Public Health Or Welfare | 99073631A (Indiana) | Secondary |
| Provider Name | Lynette May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750872644 PECOS PAC ID: 4981938305 Enrollment ID: I20190618003609 |
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