Provider Demographics
NPI:1790834620
Name:A NEW HOPE SOCIAL SERVICES, P.L.L.C.
Entity Type:Organization
Organization Name:A NEW HOPE SOCIAL SERVICES, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:208-667-6095
Mailing Address - Street 1:202 E ANTON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-3779
Mailing Address - Country:US
Mailing Address - Phone:208-667-6095
Mailing Address - Fax:208-667-6173
Practice Address - Street 1:202 E ANTON AVE STE 206
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-3779
Practice Address - Country:US
Practice Address - Phone:208-667-6095
Practice Address - Fax:208-667-6173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID0002385147251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010156337OtherREGENCE BLUESHIELD