Provider Demographics
NPI:1073918546
Name:NU HOPE COUNSELING, PLLC
Entity Type:Organization
Organization Name:NU HOPE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:BOLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:813-907-0285
Mailing Address - Street 1:4651 WANDERING WAY
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-8500
Mailing Address - Country:US
Mailing Address - Phone:813-907-0285
Mailing Address - Fax:813-406-5158
Practice Address - Street 1:4651 WANDERING WAY
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-8500
Practice Address - Country:US
Practice Address - Phone:813-907-0285
Practice Address - Fax:813-406-5158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP2482101YA0400X
FLMH8545101YM0800X
FLMT2960106H00000X
FLMH 8545251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105537700Medicaid
FL117689500Medicaid
FL116009200Medicaid
FL119880200Medicaid