Provider Demographics
NPI:1265948145
Name:NEW HOPE COUNSELING LTD.
Entity type:Organization
Organization Name:NEW HOPE COUNSELING LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:DIDOMINICIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:224-517-6234
Mailing Address - Street 1:679 W STREAMWOOD BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-4227
Mailing Address - Country:US
Mailing Address - Phone:224-517-6234
Mailing Address - Fax:
Practice Address - Street 1:679 W STREAMWOOD BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-4227
Practice Address - Country:US
Practice Address - Phone:224-517-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)