Healthcare Provider Details

I. General information

NPI: 1386063535
Provider Name (Legal Business Name): NEW HOPE COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 03/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 LAKE AVE
GOTHENBURG NE
69138-1943
US

IV. Provider business mailing address

815 LAKE AVE
GOTHENBURG NE
69138-1943
US

V. Phone/Fax

Practice location:
  • Phone: 308-537-3691
  • Fax: 308-537-3691
Mailing address:
  • Phone: 308-537-3691
  • Fax: 308-537-3691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number582
License Number StateNE

VIII. Authorized Official

Name: MRS. BRENDA HIEBNER
Title or Position: DIRECTOR
Credential: LIMHP
Phone: 308-537-3691