Healthcare Provider Details

I. General information

NPI: 1376895102
Provider Name (Legal Business Name): NEW HOPE PERSONAL DEV. CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SILVER TAIL LANE
NEW HOPE PA
18938-5763
US

IV. Provider business mailing address

140 SILVER TAIL LANE.
NEW HOPE PA
18938-5763
US

V. Phone/Fax

Practice location:
  • Phone: 215-693-1010
  • Fax: 215-693-1128
Mailing address:
  • Phone: 215-693-1010
  • Fax: 215-693-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberPC005928
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number37PC00306200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00306200
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005928
License Number StatePA

VIII. Authorized Official

Name: MS. LINDA JEANNE ROONEY
Title or Position: OWNER / PRESIDENT
Credential: LPC - LICENSED PROF.
Phone: 215-375-6684