Provider Demographics
NPI:1720335755
Name:NEW HOPE COUNSELING, LLC
Entity Type:Organization
Organization Name:NEW HOPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISAIAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:808-233-9775
Mailing Address - Street 1:PO BOX 5129
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-9129
Mailing Address - Country:US
Mailing Address - Phone:808-233-9775
Mailing Address - Fax:
Practice Address - Street 1:2851 E MANOA RD STE 1-204
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1858
Practice Address - Country:US
Practice Address - Phone:808-233-9775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI307106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty