Provider Demographics
NPI:1538491246
Name:NEW HOPE CHRISTIAN COUNSELING FOUNDATION, INC
Entity Type:Organization
Organization Name:NEW HOPE CHRISTIAN COUNSELING FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KAYES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-247-6542
Mailing Address - Street 1:12810 HEACOCK ST STE B202
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-2873
Mailing Address - Country:US
Mailing Address - Phone:951-247-6542
Mailing Address - Fax:951-247-6959
Practice Address - Street 1:12810 HEACOCK ST STE B202
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553
Practice Address - Country:US
Practice Address - Phone:951-247-6542
Practice Address - Fax:951-247-6959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2018-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health