1922583483 NPI number — HOPE FOR HOME COUNSELING

Table of content: (NPI 1922583483)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922583483 NPI number — HOPE FOR HOME COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE FOR HOME COUNSELING
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:
1922583483
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2020
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VAN ALSTYNE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75495-2020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-667-3515
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
162 N. DALLAS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VAN ALSTYNE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75495-7549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-667-3515
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/01/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WALLACE
Authorized Official First Name:
JERRYD
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR/COUNSELOR
Authorized Official Telephone Number:
469-667-3515

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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