| New Hope Counseling Service | |
|
18718 Raven Hills Dr Marengo IL 60152-4301 | |
| (630) 945-8685 | |
| Not Available |
| Full Name | New Hope Counseling Service |
|---|---|
| Speciality | Counselor |
| Location | 18718 Raven Hills Dr, Marengo, Illinois |
| Authorized Official Name and Position | Richard Damiani (PRESIDENT) |
| Authorized Official Contact | 5704792652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Counseling Service 18718 Raven Hills Dr Marengo IL 60152-4301 Ph: (630) 945-8685 | New Hope Counseling Service 18718 Raven Hills Dr Marengo IL 60152-4301 Ph: (630) 945-8685 |
| NPI Number | 1629529979 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 5890134167 |
|---|---|
| Medicare Enrollment ID | O20240418004305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629529979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.009740 (Illinois) | Primary |
| Provider Name | Richard Joseph Damiani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861717357 PECOS PAC ID: 6709225071 Enrollment ID: I20240418004312 |
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