Provider Demographics
NPI:1730854407
Name:NEW HOPE TELEHEALTH CORPORATION
Entity type:Organization
Organization Name:NEW HOPE TELEHEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:304-481-3894
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26187-0014
Mailing Address - Country:US
Mailing Address - Phone:304-481-3894
Mailing Address - Fax:304-200-2057
Practice Address - Street 1:362 E 4TH ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:WV
Practice Address - Zip Code:26187-7947
Practice Address - Country:US
Practice Address - Phone:304-991-8399
Practice Address - Fax:304-200-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty