| New Hope Counseling Center | |
|
2441 W State Road 426 Ste 1071 Oviedo FL 32765-4516 | |
| (407) 278-9983 | |
| Not Available |
| Full Name | New Hope Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 2441 W State Road 426 Ste 1071, Oviedo, Florida |
| Authorized Official Name and Position | David Bolanos (MGR) |
| Authorized Official Contact | 4079293308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Counseling Center 1017 Weathered Wood Cir Winter Springs FL 32708-4207 Ph: (407) 929-3308 | New Hope Counseling Center 2441 W State Road 426 Ste 1071 Oviedo FL 32765-4516 Ph: (407) 278-9983 |
| NPI Number | 1801592225 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 9234660846 |
|---|---|
| Medicare Enrollment ID | O20241008000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801592225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | David Antony Bolanos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194446435 PECOS PAC ID: 0143751750 Enrollment ID: I20241008000247 |
| Provider Name | Melissa Miranda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205408374 PECOS PAC ID: 8224569736 Enrollment ID: I20241008000552 |
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