Provider Demographics
NPI:1487497145
Name:DIGBY'S NEW HOPE MENTAL HEALTH COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:DIGBY'S NEW HOPE MENTAL HEALTH COUNSELING SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JERONICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DIGBY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-935-8007
Mailing Address - Street 1:17 CHRISTA ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2315
Mailing Address - Country:US
Mailing Address - Phone:716-935-8007
Mailing Address - Fax:
Practice Address - Street 1:17 CHRISTA ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-2315
Practice Address - Country:US
Practice Address - Phone:716-935-8007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:120767643
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07725868Medicaid
NY010730OtherLMHC
NY25968OtherCASAC