Healthcare Provider Details

I. General information

NPI: 1912275694
Provider Name (Legal Business Name): NEW HOPE COUNSELING SERVICES, P. A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2011
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S HARVEY ST
WASHINGTON NC
27889-5033
US

IV. Provider business mailing address

122 S HARVEY ST
WASHINGTON NC
27889-5033
US

V. Phone/Fax

Practice location:
  • Phone: 252-833-4047
  • Fax: 252-833-4048
Mailing address:
  • Phone: 252-833-4047
  • Fax: 252-833-4048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANNA LYNN AIDEUIS
Title or Position: PRESIDENT
Credential: LCSW
Phone: 252-947-1072