Provider Demographics
NPI:1053079293
Name:HOPESTONE THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:HOPESTONE THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-247-9864
Mailing Address - Street 1:2251 VILLA VERANO WAY APT 103
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-6346
Mailing Address - Country:US
Mailing Address - Phone:804-247-9864
Mailing Address - Fax:
Practice Address - Street 1:2251 VILLA VERANO WAY APT 103
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-6346
Practice Address - Country:US
Practice Address - Phone:804-247-9864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty