Provider Demographics
NPI:1093191637
Name:THE HOPE CONNECTION LLC
Entity Type:Organization
Organization Name:THE HOPE CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUROFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-227-5805
Mailing Address - Street 1:PO BOX 579
Mailing Address - Street 2:
Mailing Address - City:OLD LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06371-0579
Mailing Address - Country:US
Mailing Address - Phone:860-598-0111
Mailing Address - Fax:
Practice Address - Street 1:83 HALLS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:OLD LYME
Practice Address - State:CT
Practice Address - Zip Code:06371-4409
Practice Address - Country:US
Practice Address - Phone:860-598-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0081341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty