Provider Demographics
NPI:1043803570
Name:HOPEFUL JOURNEYS
Entity Type:Organization
Organization Name:HOPEFUL JOURNEYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:502-383-9771
Mailing Address - Street 1:636 E ORMSBY AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2623
Mailing Address - Country:US
Mailing Address - Phone:502-489-0254
Mailing Address - Fax:
Practice Address - Street 1:636 E ORMSBY AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2623
Practice Address - Country:US
Practice Address - Phone:502-383-9771
Practice Address - Fax:888-425-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health