Provider Demographics
NPI:1497422281
Name:ANEW HOPE MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:ANEW HOPE MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:317-695-8271
Mailing Address - Street 1:522 W RIVERSIDE AVE STE 4439
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0580
Mailing Address - Country:US
Mailing Address - Phone:317-695-8271
Mailing Address - Fax:
Practice Address - Street 1:522 W RIVERSIDE AVE STE 4439
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:317-695-8271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty