Basic Information
| Provider Information | |||||||||
| NPI: | 1477872232 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HANDS OF HOPE COUNSELING SERVICES, LLC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | |||||||||
| OtherFirstName: | |||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 581 HEBRON RD | ||||||||
| Address2: | |||||||||
| City: | HEATH | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430561402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405224673 | ||||||||
| FaxNumber: | 7405224673 | ||||||||
| Practice Location | |||||||||
| Address1: | 581 HEBRON RD | ||||||||
| Address2: | |||||||||
| City: | HEATH | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430561402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405224673 | ||||||||
| FaxNumber: | 7405224673 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2010 | ||||||||
| LastUpdateDate: | 05/19/2010 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | MITCHELL | ||||||||
| AuthorizedOfficialFirstName: | JESSICA | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | CLINICAL COUNSELOR | ||||||||
| AuthorizedOfficialTelephone: | 7405224673 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MA, PCC | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | E.0500281 | OH | Y | Agencies | Community/Behavioral Health |
No ID Information.