Healthcare Provider Details

I. General information

NPI: 1861184525
Provider Name (Legal Business Name): NEW HOPE BEHAVIORAL HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 SPENCER LN
CLAY CITY KY
40312-9722
US

IV. Provider business mailing address

142 SPENCER LN
CLAY CITY KY
40312-9722
US

V. Phone/Fax

Practice location:
  • Phone: 606-481-8017
  • Fax:
Mailing address:
  • Phone: 606-481-8017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY VANHOOSE
Title or Position: OWNER
Credential: LCSW
Phone: 606-481-8017