Provider Demographics
NPI:1144562273
Name:WORD OF HOPE MINISTRIES
Entity Type:Organization
Organization Name:WORD OF HOPE MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A.O.D.A COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:DWAYNE
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:BA SACIT
Authorized Official - Phone:414-447-1965
Mailing Address - Street 1:2677 N 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-2505
Mailing Address - Country:US
Mailing Address - Phone:414-447-1965
Mailing Address - Fax:
Practice Address - Street 1:2677 N 40TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-2505
Practice Address - Country:US
Practice Address - Phone:414-447-1965
Practice Address - Fax:414-447-8853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16764-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty