Dawn New Awakening LLC

NPI #1023540515 in Roseville, Michigan

Provider Information

NPI Number: 1023540515
Entity Type: Organization
Organization Name: Dawn New Awakening LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 3, 2017
Last Updated: Apr 3, 2017

Practice Location

Address: 26316 RONALD ST
City: Roseville
State: Michigan
ZIP Code: 48066-4458
Phone: (313) 221-3610

Authorized Official

Name: MRS. DARNICIA L SIMLEY-CALVIN, LLPC-CADC-DP
Title: ADMINISTRATOR
Phone: (313) 221-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Pastoral — Pastoral	101YP1600X
Marriage & Family Therapist	106H00000X
Counselor - Professional — Professional	101YP2500X	Primary

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