1801188396 NPI number — NEW HOPE COUNSELING CENTER LLP

Table of content: (NPI 1801188396)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801188396 NPI number — NEW HOPE COUNSELING CENTER LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HOPE COUNSELING CENTER LLP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801188396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 520
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREDERICK
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80530-0520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-833-0840
Provider Business Mailing Address Fax Number:
303-833-9793

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
142 6TH ST UNIT 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80530-5004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-833-0840
Provider Business Practice Location Address Fax Number:
303-833-9793
Provider Enumeration Date:
05/03/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LAVELY
Authorized Official First Name:
TONI
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/COUNSELOR
Authorized Official Telephone Number:
303-833-0840

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 23706767 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".