| New Hope Support Services, Llc | |
|
1301 Peters Creek Rd Nw Roanoke VA 24017-2545 | |
| (540) 777-2777 | |
| (540) 777-2792 |
| Full Name | New Hope Support Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1301 Peters Creek Rd Nw, Roanoke, Virginia |
| Authorized Official Name and Position | Sherman P. Lea (EXECUTIVE DIRECTOR AND OWNER) |
| Authorized Official Contact | 5407772777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Support Services, Llc Po Box 13894 Roanoke VA 24038-3894 Ph: (540) 777-2777 | New Hope Support Services, Llc 1301 Peters Creek Rd Nw Roanoke VA 24017-2545 Ph: (540) 777-2777 |
| NPI Number | 1902049042 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 4183148760 |
|---|---|
| Medicare Enrollment ID | O20250404000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902049042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1269 (Virginia) | Primary |
| Provider Name | Sara Paige Whisnant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679236863 PECOS PAC ID: 3476077066 Enrollment ID: I20250404000612 |
| Provider Name | Jillian Bauman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780413401 PECOS PAC ID: 0547784134 Enrollment ID: I20250404002518 |
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