Provider Demographics
NPI:1760141329
Name:NEW HOPE SOLUTIONS
Entity Type:Organization
Organization Name:NEW HOPE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOLYNDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:360-970-2568
Mailing Address - Street 1:PO BOX 1050
Mailing Address - Street 2:
Mailing Address - City:MCKENNA
Mailing Address - State:WA
Mailing Address - Zip Code:98558-1050
Mailing Address - Country:US
Mailing Address - Phone:360-970-2568
Mailing Address - Fax:
Practice Address - Street 1:5831 LACEY BLVD SE BLDG SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-7240
Practice Address - Country:US
Practice Address - Phone:360-215-5065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1740647163Medicaid
WA1639342728Medicaid