Healthcare Provider Details

I. General information

NPI: 1487121562
Provider Name (Legal Business Name): NEW HOPE FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2018
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 FLORENCE AVE STE 300
DOWNEY CA
90240-3961
US

IV. Provider business mailing address

PO BOX 2395
SANTA FE SPRINGS CA
90670-0395
US

V. Phone/Fax

Practice location:
  • Phone: 562-273-2135
  • Fax:
Mailing address:
  • Phone: 562-273-2135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LOURDES P ESTRADA
Title or Position: OWNER/CLINICAL DIRECTOR
Credential:
Phone: 562-273-2135