1487121562 NPI number — NEW HOPE FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION

Table of content: (NPI 1487121562)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487121562 NPI number — NEW HOPE FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HOPE FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION
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:
ESTRADA & ASSOCIATES COUNSELING &CONSULTING SERVICES
Provider Other Organization Name Type Code:
4
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:
1487121562
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2395
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA FE SPRINGS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90670-0395
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-273-2135
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8350 FLORENCE AVE STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOWNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90240-3961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-273-2135
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2018

Additional Information

Authorized Official

Authorized Official Last Name:
ESTRADA
Authorized Official First Name:
LOURDES
Authorized Official Middle Name:
P
Authorized Official Title or Position:
OWNER/CLINICAL DIRECTOR
Authorized Official Telephone Number:
562-273-2135

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1104958883 . This is a "MENTAL HEALTH" identifier . This identifiers is of the category "OTHER".




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