Basic Information
| Provider Information | |||||||||
| NPI: | 1295132934 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOPE FOR HEALING COUNSELING, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16415 COLORADO AVE STE 305 | ||||||||
| Address2: | |||||||||
| City: | PARAMOUNT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907235053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624458177 | ||||||||
| FaxNumber: | 5624458179 | ||||||||
| Practice Location | |||||||||
| Address1: | 16415 COLORADO AVE STE 305 | ||||||||
| Address2: | |||||||||
| City: | PARAMOUNT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907235053 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624458177 | ||||||||
| FaxNumber: | 5624458179 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2014 | ||||||||
| LastUpdateDate: | 11/24/2014 | ||||||||
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| AuthorizedOfficialLastName: | RIVERA | ||||||||
| AuthorizedOfficialFirstName: | LIZBETH | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5624458177 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 425197 | CA | Y | Agencies | Community/Behavioral Health |
No ID Information.