Provider Demographics
NPI:1033973250
Name:HEALING OUR PAST ENERGY H.O.P.E PROFESSIONAL COUNSELING
Entity Type:Organization
Organization Name:HEALING OUR PAST ENERGY H.O.P.E PROFESSIONAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIRL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-318-2429
Mailing Address - Street 1:PO BOX 141057
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1057
Mailing Address - Country:US
Mailing Address - Phone:567-318-2429
Mailing Address - Fax:567-318-6569
Practice Address - Street 1:1715 INDIAN WOOD CIR STE 200
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-4055
Practice Address - Country:US
Practice Address - Phone:419-740-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty