Provider Demographics
NPI:1437456696
Name:NEW HOPE COMMUNITY SERVICES
Entity Type:Organization
Organization Name:NEW HOPE COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAQUITA
Authorized Official - Middle Name:JENENE
Authorized Official - Last Name:EASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LLMSW
Authorized Official - Phone:734-680-0721
Mailing Address - Street 1:8500 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9329
Mailing Address - Country:US
Mailing Address - Phone:734-544-1447
Mailing Address - Fax:
Practice Address - Street 1:133 W MICHIGAN AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-5550
Practice Address - Country:US
Practice Address - Phone:734-680-0721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801092622251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health