Provider Demographics
NPI:1003603572
Name:NEW HOPE WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:NEW HOPE WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWADIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-342-7666
Mailing Address - Street 1:104 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:KENLY
Mailing Address - State:NC
Mailing Address - Zip Code:27542-7791
Mailing Address - Country:US
Mailing Address - Phone:919-342-7666
Mailing Address - Fax:
Practice Address - Street 1:104 E 2ND ST
Practice Address - Street 2:
Practice Address - City:KENLY
Practice Address - State:NC
Practice Address - Zip Code:27542-7791
Practice Address - Country:US
Practice Address - Phone:919-342-7666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty