Basic Information
| Provider Information | |||||||||
| NPI: | 1730840877 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HOPEFUL JOURNEYS COUNSELING AND WELLNESS INC. | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 7217 HAWTHORNE DR | ||||||||
| Address2: | |||||||||
| City: | MENTOR | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440604632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4405896500 | ||||||||
| FaxNumber: | 4405896555 | ||||||||
| Practice Location | |||||||||
| Address1: | 8373 MENTOR AVE | ||||||||
| Address2: | |||||||||
| City: | MENTOR | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440605749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4405896500 | ||||||||
| FaxNumber: | 4405896555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/30/2021 | ||||||||
| LastUpdateDate: | 04/04/2022 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | TAYLOR | ||||||||
| AuthorizedOfficialFirstName: | JESSICA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER, PRESIDENT, CEO | ||||||||
| AuthorizedOfficialTelephone: | 4405896500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LPCC-S | ||||||||
| NPICertificationDate: | 04/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.