Healthcare Provider Details

I. General information

NPI: 1194590927
Provider Name (Legal Business Name): NEW HOPE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 WALDO ST STE 2RA
WORCESTER MA
01608-1535
US

IV. Provider business mailing address

33 WALDO ST STE 2RA
WORCESTER MA
01608-1535
US

V. Phone/Fax

Practice location:
  • Phone: 508-250-8378
  • Fax: 508-762-9160
Mailing address:
  • Phone: 508-250-8378
  • Fax: 508-762-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AMIDA NCHAW
Title or Position: CEO
Credential:
Phone: 508-250-8378