Provider Demographics
NPI:1912275694
Name:NEW HOPE COUNSELING SERVICES, P. A.
Entity Type:Organization
Organization Name:NEW HOPE COUNSELING SERVICES, P. A.
Other - Org Name:DIANNA L. AIDEUIS D/B/A NEW HOPE COUNSELING SERVICES, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:AIDEUIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-947-1072
Mailing Address - Street 1:122 S HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-5033
Mailing Address - Country:US
Mailing Address - Phone:252-833-4047
Mailing Address - Fax:252-833-4048
Practice Address - Street 1:122 S HARVEY ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-5033
Practice Address - Country:US
Practice Address - Phone:252-833-4047
Practice Address - Fax:252-833-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002853Medicaid