Healthcare Provider Details

I. General information

NPI: 1508239278
Provider Name (Legal Business Name): NEW HOPE COUNSELING CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 GRANT ST
CRYSTAL LAKE IL
60014-4372
US

IV. Provider business mailing address

27 GRANT ST
CRYSTAL LAKE IL
60014-4372
US

V. Phone/Fax

Practice location:
  • Phone: 901-205-9395
  • Fax:
Mailing address:
  • Phone: 847-220-8428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MELANIE JOHNSON
Title or Position: OWNER
Credential:
Phone: 847-220-8428