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General NPI Number Information
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NPI Number | 1508239278
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Entity Type | Organization
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Legal Business Name | NEW HOPE COUNSELING CENTER LTD
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 27 GRANT ST
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-4372
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Country | US
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Telephone | 901-205-9395
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Fax |
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Provider Business Mailing Address
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Address Line | 27 GRANT ST
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-4372
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Country | US
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Telephone | 847-220-8428
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE JOHNSON
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Credential |
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Telephone | 847-220-8428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.000967
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License Number State | IL
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