Provider Demographics
NPI:1417107590
Name:NEW HOPE COUNSELING CENTER OF WI, INC.
Entity Type:Organization
Organization Name:NEW HOPE COUNSELING CENTER OF WI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:LAWNICZAK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CEAP
Authorized Official - Phone:920-338-0100
Mailing Address - Street 1:3021 HOLMGREN WAY
Mailing Address - Street 2:#203
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-6302
Mailing Address - Country:US
Mailing Address - Phone:920-338-0100
Mailing Address - Fax:920-338-0103
Practice Address - Street 1:3021 HOLMGREN WAY
Practice Address - Street 2:#203
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-6302
Practice Address - Country:US
Practice Address - Phone:920-338-0100
Practice Address - Fax:920-338-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2760-125251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health