Provider Demographics
NPI:1356772404
Name:NEW HOPE COMMUNITY SERVICES
Entity type:Organization
Organization Name:NEW HOPE COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC PC
Authorized Official - Phone:606-584-7055
Mailing Address - Street 1:901 US HIGHWAY 68
Mailing Address - Street 2:STE 900
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9188
Mailing Address - Country:US
Mailing Address - Phone:606-584-2169
Mailing Address - Fax:866-533-4929
Practice Address - Street 1:901 US HIGHWAY 68
Practice Address - Street 2:STE 900
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9188
Practice Address - Country:US
Practice Address - Phone:606-584-2169
Practice Address - Fax:866-533-4929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100278570Medicaid