Healthcare Provider Details
I. General information
NPI: 1710435359
Provider Name (Legal Business Name): FINDING NEW HOPE COUNSELING CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2016
Last Update Date: 12/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
974 ENGLISH HILL RD
ROARING BRANCH PA
17765-8929
US
IV. Provider business mailing address
974 ENGLISH HILL RD
ROARING BRANCH PA
17765-8929
US
V. Phone/Fax
- Phone: 570-673-8398
- Fax:
- Phone: 570-673-8398
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC008186 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | PC008186 |
| License Number State | PA |
VIII. Authorized Official
Name:
TERESA
K
ALLEN
Title or Position: LPC, OWNER
Credential: LPC
Phone: 570-673-8398