Provider Demographics
NPI:1932437563
Name:NEW HOPE COUNSLEING
Entity Type:Organization
Organization Name:NEW HOPE COUNSLEING
Other - Org Name:CLEARING HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, MAC
Authorized Official - Phone:770-539-9669
Mailing Address - Street 1:PO BOX 2323
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-2323
Mailing Address - Country:US
Mailing Address - Phone:770-539-9669
Mailing Address - Fax:770-539-9522
Practice Address - Street 1:322 SPRING ST SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3736
Practice Address - Country:US
Practice Address - Phone:770-539-9669
Practice Address - Fax:770-539-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1451251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health