Provider Demographics
NPI:1538966957
Name:NEW HOPE MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:NEW HOPE MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:KEO
Authorized Official - Middle Name:
Authorized Official - Last Name:SENGSAVANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-234-1823
Mailing Address - Street 1:1935 COUNTY ROAD B2 W STE 43
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2780
Mailing Address - Country:US
Mailing Address - Phone:612-806-2219
Mailing Address - Fax:612-640-4064
Practice Address - Street 1:1935 COUNTY ROAD B2 W STE 43
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55113-2780
Practice Address - Country:US
Practice Address - Phone:612-806-2219
Practice Address - Fax:612-640-4064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health