1831695469 NPI number — HOPE CHRISTIAN COUNSELING CENTER

Table of content: (NPI 1831695469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831695469 NPI number — HOPE CHRISTIAN COUNSELING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE CHRISTIAN COUNSELING CENTER
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:
6
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:
1831695469
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
900 W SOUTH BOUNDARY ST BLDG 7B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PERRYSBURG
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43551-5244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-724-4233
Provider Business Mailing Address Fax Number:
877-622-7635

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
900 W SOUTH BOUNDARY ST BLDG 7B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PERRYSBURG
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43551-5244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-724-4233
Provider Business Practice Location Address Fax Number:
877-622-7635
Provider Enumeration Date:
04/03/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LIVINGSTON
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
LISW-S
Authorized Official Telephone Number:
419-724-4233

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X , with the licence number:  I-0009614 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: I-0009614 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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