Provider Demographics
NPI:1386453413
Name:NEWDAY THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:NEWDAY THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICSW
Authorized Official - Prefix:MISS
Authorized Official - First Name:MO
Authorized Official - Middle Name:VALERIE
Authorized Official - Last Name:PAYLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA; LICSW
Authorized Official - Phone:612-239-7612
Mailing Address - Street 1:8012 UPPER 145TH ST W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7448
Mailing Address - Country:US
Mailing Address - Phone:612-239-7612
Mailing Address - Fax:
Practice Address - Street 1:8012 UPPER 145TH ST W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55124-7448
Practice Address - Country:US
Practice Address - Phone:612-239-7612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)