| Hopeful Minds Counseling Services - Corp | |
|
1308 E 1st St Ste 3 Newberg OR 97132-2942 | |
| (503) 550-6862 | |
| Not Available |
| Full Name | Hopeful Minds Counseling Services - Corp |
|---|---|
| Speciality | Counselor |
| Location | 1308 E 1st St Ste 3, Newberg, Oregon |
| Authorized Official Name and Position | Nadege R Petrie (PRESIDENT) |
| Authorized Official Contact | 5035506862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeful Minds Counseling Services - Corp Po Box 591 Newberg OR 97132-0591 Ph: (503) 550-6862 | Hopeful Minds Counseling Services - Corp 1308 E 1st St Ste 3 Newberg OR 97132-2942 Ph: (503) 550-6862 |
| NPI Number | 1578260915 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 9234577438 |
|---|---|
| Medicare Enrollment ID | O20240408001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578260915 | NPI | - | NPPES |
| 500801883 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Nadege Rose Petrie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730600057 PECOS PAC ID: 8123466208 Enrollment ID: I20240410001900 |
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