Provider Demographics
NPI:1487121562
Name:NEW HOPE FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:NEW HOPE FAMILY COUNSELING CENTER, PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:P
Authorized Official - Last Name:ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-273-2135
Mailing Address - Street 1:PO BOX 2395
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-0395
Mailing Address - Country:US
Mailing Address - Phone:562-273-2135
Mailing Address - Fax:
Practice Address - Street 1:8350 FLORENCE AVE STE 300
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3961
Practice Address - Country:US
Practice Address - Phone:562-273-2135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-27
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1104958883OtherMENTAL HEALTH