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NPI Code Detail

MEDICARE: NEW HOPE CHRISTIAN COUNSELING CTR

MEDICARE: NEW HOPE CHRISTIAN COUNSELING CTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

Other Identifiers

General Provider Information

NPI Number : 1285793430
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HOPE CHRISTIAN COUNSELING CTR
Provider Business Mailing Address
First Line : 1225 SIXTH AVENUE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2311
Country : US
Telephone Number : 304-526-9189
Fax Number : 304-526-9989
Provider Business Practice Location Address
First Line : 1225 SIXTH AVENUE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2311
Country : US
Telephone Number : 304-526-9189
Fax Number : 304-526-9989
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : MR. TIMOTHY HARRISON PAULEY
Credential :
Telephone Number : 304-526-9189
Provider Enumeration Date : 12/06/2006
Last Update Date : 11/21/2007

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Directions to “NEW HOPE CHRISTIAN COUNSELING CTR ” Practice Location

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