| New Hope Restoration Counseling Llc | |
|
4972 Benchmark Centre Dr Ste 100 Swansea IL 62226-2070 | |
| (618) 494-3064 | |
| Not Available |
| Full Name | New Hope Restoration Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 4972 Benchmark Centre Dr Ste 100, Swansea, Illinois |
| Authorized Official Name and Position | Rockael Mays (OWNER) |
| Authorized Official Contact | 6185301094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Restoration Counseling Llc 1221 Merriam Pkwy O Fallon IL 62269-7087 Ph: (618) 530-1094 | New Hope Restoration Counseling Llc 4972 Benchmark Centre Dr Ste 100 Swansea IL 62226-2070 Ph: (618) 494-3064 |
| NPI Number | 1093523342 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 3779013289 |
|---|---|
| Medicare Enrollment ID | O20250213001861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093523342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rockael Mays |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124749528 PECOS PAC ID: 5597295006 Enrollment ID: I20250213001925 |
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