Provider Demographics
NPI:1558792895
Name:NEW HOPE BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:NEW HOPE BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUYKENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-608-4578
Mailing Address - Street 1:3535 PELHAM RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4107
Mailing Address - Country:US
Mailing Address - Phone:864-608-4578
Mailing Address - Fax:864-438-2414
Practice Address - Street 1:3535 PELHAM RD
Practice Address - Street 2:SUITE 203
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4107
Practice Address - Country:US
Practice Address - Phone:864-608-4578
Practice Address - Fax:864-438-2414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty