Provider Demographics
NPI:1538620075
Name:NEW DIRECTIONS COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:NEW DIRECTIONS COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:S
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-650-3901
Mailing Address - Street 1:4941 KARLS GATE DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-1630
Mailing Address - Country:US
Mailing Address - Phone:770-650-3901
Mailing Address - Fax:
Practice Address - Street 1:4840 ROSWELL RD STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2639
Practice Address - Country:US
Practice Address - Phone:770-650-3901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty