1205685112 NPI number — HOPE HEART MOMENTUM COUNSELING LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205685112 NPI number — HOPE HEART MOMENTUM COUNSELING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE HEART MOMENTUM COUNSELING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205685112
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 26510
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLLEGEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19426-0510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-501-4836
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3900 SKIPPACK PIKE
Provider Second Line Business Practice Location Address:
SUITE B4
Provider Business Practice Location Address City Name:
SKIPPACK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19468-1790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-501-4836
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2024

Additional Information

Authorized Official

Authorized Official Last Name:
PUCKETT
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
484-501-4836

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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