Provider Demographics
NPI:1114305315
Name:OWENS, HOPE
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S HUNTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:IN
Mailing Address - Zip Code:46567-1923
Mailing Address - Country:US
Mailing Address - Phone:574-457-4400
Mailing Address - Fax:574-457-4141
Practice Address - Street 1:901 S HUNTINGTON ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:IN
Practice Address - Zip Code:46567-1923
Practice Address - Country:US
Practice Address - Phone:574-457-4400
Practice Address - Fax:574-457-4141
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor