MEDICARE: NEW HOPE MINIISTRIES & COUNSELING, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor
4	101YP1600X	Pastoral Counselor
5	101YP2500X	Professional Counselor
6	103K00000X	Behavior Analyst
7	103T00000X	Psychologist
8	103TA0400X	Addiction (Substance Use Disorder) Psychologist
9	103TB0200X	Cognitive & Behavioral Psychologist
10	103TC1900X	Counseling Psychologist
11	103TC2200X	Clinical Child & Adolescent Psychologist
12	103TF0000X	Family Psychologist
13	106H00000X	Marriage & Family Therapist
14	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1225478928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE MINIISTRIES & COUNSELING, INC

Provider Business Mailing Address
First Line	:	4170 S RIDGEWOOD AVE
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-4519
Country	:	US
Telephone Number	:	386-310-7922
Fax Number	:	888-386-2024

Provider Business Practice Location Address
First Line	:	4170 S RIDGEWOOD AVE
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-4519
Country	:	US
Telephone Number	:	386-310-7922
Fax Number	:	888-386-2024

Authorized Official
Title or Position	:	CEO
Name	:	STARLENE MCCLURE
Credential	:
Telephone Number	:	386-453-9394

Provider Enumeration Date	:	06/27/2013
Last Update Date	:	06/27/2013

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