| Brand New Day Life Coaching Llc | |
|
3070 N Main St Nw Kennesaw GA 30144-2756 | |
| (470) 561-5879 | |
| (770) 995-1959 |
| Full Name | Brand New Day Life Coaching Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3070 N Main St Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Denita Jones (OWNER) |
| Authorized Official Contact | 4705615879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brand New Day Life Coaching Llc 3636 Autumn View Dr Nw Acworth GA 30101-7627 Ph: (470) 561-5879 | Brand New Day Life Coaching Llc 3070 N Main St Nw Kennesaw GA 30144-2756 Ph: (470) 561-5879 |
| NPI Number | 1407643927 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Medicare PECOS PAC ID | 7012426794 |
|---|---|
| Medicare Enrollment ID | O20250604000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407643927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denita Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528659844 PECOS PAC ID: 8921517608 Enrollment ID: I20250604000236 |
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