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General NPI Number Information
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NPI Number | 1629657465
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Entity Type | Organization
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Legal Business Name | NEW HOPE COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 1505 N DELAWARE ST STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-4467
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Country | US
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Telephone | 317-983-5281
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Fax | 317-214-8721
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Provider Business Mailing Address
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Address Line | 1505 N DELAWARE ST STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-4467
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Country | US
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Telephone | 317-983-5281
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Fax | 317-214-8721
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. JEFFREY MICHAEL NOTTINGHAM
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Credential |
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Telephone | 317-983-5281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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