Provider Demographics
NPI:1366730723
Name:HOPE PSYCHOLOGICAL SERVICES OF NEW HAMPSHIRE
Entity type:Organization
Organization Name:HOPE PSYCHOLOGICAL SERVICES OF NEW HAMPSHIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-232-4025
Mailing Address - Street 1:40 S RIVER RD UNIT 50
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6769
Mailing Address - Country:US
Mailing Address - Phone:603-232-4025
Mailing Address - Fax:603-935-7018
Practice Address - Street 1:40 S RIVER RD UNIT 50
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6769
Practice Address - Country:US
Practice Address - Phone:603-232-4025
Practice Address - Fax:603-935-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH531101YM0800X
NH01468723163WP0808X
NH469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty