Provider Demographics
NPI:1134648900
Name:WORD OF HOPE
Entity Type:Organization
Organization Name:WORD OF HOPE
Other - Org Name:YOUTH TAKE A STAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-477-1936
Mailing Address - Street 1:3975 E PRIEN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70615-5413
Mailing Address - Country:US
Mailing Address - Phone:337-477-1936
Mailing Address - Fax:337-477-1944
Practice Address - Street 1:3975 EAST PRIEN LAKE RD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70615
Practice Address - Country:US
Practice Address - Phone:337-477-1936
Practice Address - Fax:337-477-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251J00000XAgenciesNursing Care