New Hope, Llc | |
405 S Clairborne Rd Ste 1 Olathe KS 66062-1774 | |
(913) 764-5463 | |
(913) 764-4160 |
Full Name | New Hope, Llc |
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Speciality | Counselor - Professional |
Location | 405 S Clairborne Rd Ste 1, Olathe, Kansas |
Authorized Official Name and Position | Roxanne H Quinn (MANAGING MEMBER) |
Authorized Official Contact | 9137645463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Hope, Llc 405 S Clairborne Rd Ste 1 Olathe KS 66062-1774 Ph: (913) 764-5463 | New Hope, Llc 405 S Clairborne Rd Ste 1 Olathe KS 66062-1774 Ph: (913) 764-5463 |
NPI Number | 1619241874 |
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Provider Enumeration Date | 03/05/2012 |
Last Update Date | 03/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619241874 | NPI | - | NPPES |
200429700A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCPC 783 (Kansas) | Primary |
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