Provider Demographics
NPI:1215799127
Name:NEW HOPE PSYCHOTHERAPY LCSW LLC
Entity type:Organization
Organization Name:NEW HOPE PSYCHOTHERAPY LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GENESIS
Authorized Official - Middle Name:
Authorized Official - Last Name:URENA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW / LICSW
Authorized Official - Phone:646-481-4485
Mailing Address - Street 1:245 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-2530
Mailing Address - Country:US
Mailing Address - Phone:646-481-4485
Mailing Address - Fax:
Practice Address - Street 1:245 AZALEA DR
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-2530
Practice Address - Country:US
Practice Address - Phone:646-481-4485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty