| New Hope Counseling And Wellness Llc | |
|
609 S New Hope Rd Ste 102 Gastonia NC 28054-4825 | |
| (704) 208-1865 | |
| Not Available |
| Full Name | New Hope Counseling And Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | 609 S New Hope Rd Ste 102, Gastonia, North Carolina |
| Authorized Official Name and Position | Laura Kathryn Gundel (CHIEF OPERATING OFFICER- FINANCE) |
| Authorized Official Contact | 7044122403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Counseling And Wellness Llc 609 S New Hope Rd Ste 102 Gastonia NC 28054-4825 Ph: (704) 208-1865 | New Hope Counseling And Wellness Llc 609 S New Hope Rd Ste 102 Gastonia NC 28054-4825 Ph: (704) 208-1865 |
| NPI Number | 1245607514 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 05/07/2018 |
| Medicare PECOS PAC ID | 1052732658 |
|---|---|
| Medicare Enrollment ID | O20200608001679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245607514 | NPI | - | NPPES |
| 1245607514 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A11512 (North Carolina) | Primary |
| Provider Name | Krystal E Carrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639581382 PECOS PAC ID: 3375815046 Enrollment ID: I20170816001929 |
| Provider Name | Valerie Ann Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972188928 PECOS PAC ID: 8224436209 Enrollment ID: I20211005002318 |
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